Plastic Surgery Center of the South
Plastic Surgery Center of the South is a Clinic/Center in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
Practice location Address checks out
120 Vann St NE Ste 150Marietta, GA 30060-7250
Phone: (772) 421-1242
Fax: (770) 424-6652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X · Licence 261QA1903X (GA) |
|---|
Record details
| NPI number | 1295885465 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James Leake — Medical Director · (770) 421-1242 |
| NPI enumerated | January 11, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 120 Vann St Ne, Suite 150, Marietta, GA 30060-7250 |
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