SOUTHERN PLASTIC SURGERY, P.C.


Address: 3855 Pleasant Hill Rd, Suite 370, Duluth, GA 30096-1407
Phone: 7706229100

SOUTHERN PLASTIC SURGERY, P.C. (NPI# 1528334190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528334190
Entity Type Organization
Organization Name SOUTHERN PLASTIC SURGERY, P.C.
Practice Address 3855 Pleasant Hill Rd
Suite 370
Duluth
GA 30096-1407
Practice Telephone 7706229100
Practice Fax Number 7706229822
Mailing Telephone 7706229100
Mailing Fax Number 7706229822
Enumeration Date 2012-03-28
Last Update Date 2012-03-28
Authorized Official Name MRS. JACQUELINE MADISON (PRACTICE MANAGER)
Authorized Official Telephone 7706229100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 037728 GA Other Service Providers

Office Location

Street Address 3855 PLEASANT HILL RD
SUITE 370
City DULUTH
State GA
Zip Code 30096-1407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013915586 Michael John Pickford Otolaryngology 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 2005-07-08
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1831639293 Kelly Lynn Anderson Specialist/Technologist 3855 Pleasant Hill Rd, Suite 130, Duluth, GA 30096-1407 2017-03-06
1548709314 Georgia Plastic Surgery Specialist General Acute Care Hospital 3855 Pleasant Hill Rd, Suite #300, Duluth, GA 30096-1407 2017-02-14
1215311402 Cha Ob/gyn Obstetrics & Gynecology 3855 Pleasant Hill Rd, Suite 270, Duluth, GA 30096-1407 2015-07-17
1659794691 Gwinnett Ear Nose & Throat, LLC Otolaryngology 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 2014-01-28
1386083814 Nicholas Matthew Rossi Physician Assistant 3855 Pleasant Hill Rd, Suite 470, Duluth, GA 30096-1407 2013-06-18
1811237571 Ashley Lucia Feeney Specialist/Technologist 3855 Pleasant Hill Rd, Hudgens Building Suite 470, Duluth, GA 30096-1407 2013-02-18
1730438920 David Robert Braatz Audiologist 3855 Pleasant Hill Rd, Suite 280, Duluth, GA 30096-1407 2012-09-03
1568766822 David B Pharis Md PC Dermatology 3855 Pleasant Hill Rd, Suite 200, Duluth, GA 30096-1407 2010-12-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922615897 Georgia Eye Optical, LLC Ophthalmology 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 2020-09-25
1568090868 Positive Behavior Services, Inc Behavior Technician 3765 Crestwood Pkwy Nw, Duluth, GA 30096 2020-03-31
1861031940 Elizabeth Ashley Edouard Counselor 3464 Duluth Hwy 120, Duluth, GA 30096 2020-01-06
1245701044 Kathryn Irene Vaughn Social Worker 3968 Mainsail Court, Duluth, GA 30096 2018-12-06
1083184626 Aica Orthopedics, P.C. Orthopaedic Surgery 3775 Venture Drive Bldg F, Duluth, GA 30096 2018-11-27
1245709799 Positive Impact Health Centers, Inc. Pharmacy 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 2018-11-14
1235611724 Katherine Winstead Knott Counselor 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 2018-08-31
1710467857 Envision Optics LLC Optometrist 1943 Pleasant Hill Rd, Duluth, GA 30096 2018-08-17
1104314202 Erin Mckernan Scupham Chiropractor 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 2018-04-25
1053839456 Rogers Bridge Pediatric Therapy, LLC Clinic/Center 2845 Summercrest Ln, Duluth, GA 30096 2017-09-06
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992327415 Julie Baker Specialist 907 W Central Entrance, Duluth, MN 55811-5469 2020-05-07
1942510904 Amanda Rose Kerola Specialist 2814 Minnesota Ave, Duluth, MN 55802-2526 2010-10-08
1639323827 Elegant Touch Massage Therapy Specialist 2590 Peachtree Industrial Blvd Ste D, Duluth, GA 30097-3405 2008-11-14
1003089418 Gwinnett Multi Specialty Group LLC Specialist 3840 Peachtree Industrial Boulevard, Duluth, GA 30096-4847 2008-04-07
1790954279 Generations Health Care Initiative Inc Specialist 5 N 3rd Ave W, Suite 310, Duluth, MN 55802 2008-02-28
1912067877 Barbara Joy Bergstrom Specialist 4505 W Superior St, Duluth, MN 55807-2728 2006-12-11
1851474506 Heide's Mastectomy Services of Duluth. Specialist 701 1/2 North 6th Ave. East, Duluth, MN 55805-1333 2006-10-23
1447342241 Advanced Prosthetics Inc Specialist 3540 Duluth Park Lane, Suite 230, Duluth, GA 30096 2006-09-29
1316960701 Questar Duluth, Inc Specialist 1527 London Road, Duluth, MN 55812 2006-07-26
1932125820 Northland Urology Asso. P.a. Specialist 1000 E 1st St Ste 306, Duluth, MN 55805-2297 2006-07-14
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Competitor

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City DULUTH
Zip Code 30096

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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