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

Southern Plastic Surgery, PC

Organization Specialist · NPI 1528334190

Southern Plastic Surgery, PC is a Specialist in Duluth, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3855 Pleasant Hill Rd Ste 370
Duluth, GA 30096-1407
Phone: (770) 622-9100
Fax: (770) 622-9822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 037728 (GA)

Record details

NPI number1528334190
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacqueline Madison — Practice Manager · (770) 622-9100
NPI enumeratedMarch 28, 2012
Last updated in NPPESMarch 28, 2012
Mailing address3855 Pleasant Hill Rd, Suite 370, Duluth, GA 30096-1407

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