Renaissance Plastic Surgery

Specialist · Macon, GA

Organization Active NPI

NPI number 1063604791

Practice location

4030 Riverside Park Blvd
Macon, GA 31210-1365
Phone
(478) 474-2200
Fax
(478) 314-0740

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NPI record

NPI
1063604791
Entity type
Organization (Type 2)
Enumeration date
August 16, 2007
Last updated
August 16, 2007
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X — —

Authorized official

Name
Mrs. Kathy Stuart
Title
Administrator
Phone
(478) 474-2200

About Renaissance Plastic Surgery

Renaissance Plastic Surgery is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 4030 Riverside Park Blvd, Macon, GA 31210-1365. The NPI number 1063604791 was assigned on August 16, 2007 and the record was last updated on August 16, 2007.

The authorized official for this organization is Mrs. Kathy Stuart, Administrator.

Frequently asked questions

What is the NPI number of Renaissance Plastic Surgery?

The NPI number is 1063604791.

What is the phone number of Renaissance Plastic Surgery?

The phone number listed for the practice location is (478) 474-2200.

Where is Renaissance Plastic Surgery located?

4030 Riverside Park Blvd, Macon, GA 31210-1365.

What is the taxonomy code for Renaissance Plastic Surgery?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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