| The Center for Plastic and Reconstructive Surgery | |
|
3320 Old Jefferson Rd. Building 100 Athens GA 30607 | |
| (706) 353-3600 | |
| (706) 353-3777 |
| Full Name | The Center for Plastic and Reconstructive Surgery |
|---|---|
| Speciality | Clinic/Center |
| Location | 3320 Old Jefferson Rd., Athens, Georgia |
| Authorized Official Name and Position | Katherine Duffee (ASC DIRECTOR) |
| Authorized Official Contact | 7065493203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center for Plastic and Reconstructive Surgery 3320 Old Jefferson Rd. Building 100 Athens GA 30607 Ph: (706) 353-3600 | The Center for Plastic and Reconstructive Surgery 3320 Old Jefferson Rd. Building 100 Athens GA 30607 Ph: (706) 353-3600 |
| NPI Number | 1518063338 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/27/2024 |
| Certification Date | 08/27/2024 |
| Medicare PECOS PAC ID | 2466528252 |
|---|---|
| Medicare Enrollment ID | O20080902000163 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518063338 | NPI | - | NPPES |
| 158255400 | Other | GA | ACS DEPT OF LABOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0683035 (Georgia) | Secondary |
| 261Q00000X | Clinic/center | 291-229 (Georgia) | Primary |
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Athens Regional Physician Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Oglethorpe Avenue, Suite 600a, Athens, GA 30606 Phone: 706-369-5440 Fax: 706-369-5490 |