Prima Center For Plastic Surgery Pc

LBN: Prima Center For Plastic Surgery Pc
Prima Center For Plastic Surgery Pc is an health care organization with primary practice located at 3096 Peachtree Industrial Blvd , Duluth GA 30097-7918. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Prima Center For Plastic Surgery Pc can be contacted via phone (770) 495-1477, or through Nakano, Phillip H via phone (770) 495-1477.

Contact Information

Primary practice address
3096 Peachtree Industrial Blvd Duluth GA 30097-7918
Phone: (770) 495-1477
Fax: (770) 495-1488
Website:
Map and Directions
Authorized official contact:
Name: Nakano, Phillip H Doctor of Medicine (MD)
Phone: (770) 495-1477

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1114065935
LBN Legal business name Prima Center For Plastic Surgery Pc
DBA Doing business as
Authorized official Nakano, Phillip H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Mar 13th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114065935 NPPES
Georgia MEDICAID 55001192A

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