West Side Plastic Surgery, Inc
LBN: West Side Plastic Surgery, Inc
West Side Plastic Surgery, Inc is an health care organization with primary practice located at 960 Johnson Ferry Rd N.E. Suite 336, Atlanta GA 30342. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty.
West Side Plastic Surgery, Inc can be contacted via phone (404) 805-5535, or through Gipson, Vetra A via phone (404) 805-0646.
Contact Information
Primary practice address
960 Johnson Ferry Rd N.E. Suite 336
Atlanta GA 30342
Phone: (404) 805-5535
Fax: (866) 935-5995
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 50518 | Georgia |
Profile Details
NPI number | 1730380775 |
---|---|
LBN Legal business name | West Side Plastic Surgery, Inc |
DBA Doing business as | |
Authorized official | Gipson, Vetra A Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 29th, 2007 |
Last updated | Apr 11th, 2011 - about 14 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 | 1730380775 | NPPES |
Georgia | MEDICAID | 000963102B |
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