Celestial Plastic Surgery
LBN: Celestial Plastic And Reconstructive Surgery
Celestial Plastic Surgery is an health care organization with primary practice located at 2230 Godby Rd , College Park GA 30349-5002. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is the primary health care specialty.
Celestial Plastic And Reconstructive Surgery can be contacted via phone (404) 268-0828, or through Celestin, Ruth via phone (770) 845-0696.
Contact Information
Primary practice address
2230 Godby Rd
College Park GA 30349-5002
Phone: (404) 268-0828
Fax: (404) 393-1695
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 70539 | Georgia |
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | ||
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X |
Profile Details
| NPI number | 1619479201 |
|---|---|
| LBN Legal business name | Celestial Plastic And Reconstructive Surgery |
| DBA Doing business as | Celestial Plastic Surgery |
| Authorized official | Celestin, Ruth Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 28th, 2018 |
| Last updated | Jun 1st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619479201 | NPPES |
| Other | DZ9723 | RAIROAD MEDICARE PTAN | |
| MEDICAID | 003211917A | RAIROAD MEDICARE PTAN | |
| MEDICAID | 1972708899 | RAIROAD MEDICARE PTAN |
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