| Plasticity Centers Of Georgia, Llc | |
|
200 Cobb Pkwy N Ste 128 Marietta GA 30062-3538 | |
| (404) 905-6000 | |
| Not Available |
| Full Name | Plasticity Centers Of Georgia, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 200 Cobb Pkwy N Ste 128, Marietta, Georgia |
| Authorized Official Name and Position | Angel Pope (MANAGER OF CENTER SUPPORT) |
| Authorized Official Contact | 4079554248 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plasticity Centers Of Georgia, Llc 991 Southpark Dr Ste 200 Littleton CO 80120-5689 Ph: (407) 955-4248 | Plasticity Centers Of Georgia, Llc 200 Cobb Pkwy N Ste 128 Marietta GA 30062-3538 Ph: (404) 905-6000 |
| NPI Number | 1942923917 |
|---|---|
| Provider Enumeration Date | 09/23/2022 |
| Last Update Date | 09/23/2022 |
| Certification Date | 09/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942923917 | NPI | - | NPPES |
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