Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Image Cosmetic & Laser Surgery

Organization Specialist · NPI 1457563447

Premier Image Cosmetic & Laser Surgery is a Specialist in Atlanta, Georgia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

4553 N Shallowford Road 20B
Atlanta, GA 30338
Phone: (770) 457-6303
Fax: (770) 457-2823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1457563447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanette Hames — Practice Administrator · (770) 457-6303
NPI enumeratedMay 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4553 N Shallowford Road, 20b, Atlanta, GA 30338

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