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

Southeastern Aesthetic and Reconstructive Surgery

Organization Plastic and Reconstructive Surgery Physician · NPI 1093255044

Southeastern Aesthetic and Reconstructive Surgery is a Plastic and Reconstructive Surgery Physician in Newnan, Georgia. Licensed in Georgia. Registered with an NPI since 2017.

Licensed in
GA
In the registry since
2017

Practice location Address checks out

155 Greenville St
Newnan, GA 30263-2630
Phone: (404) 642-7722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 65539 (GA)

Record details

NPI number1093255044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frederick Durden — Physician · (404) 642-7722
NPI enumeratedFebruary 24, 2017
Last updated in NPPESFebruary 24, 2017
Mailing address155 Greenville St, Newnan, GA 30263-2630