Pooler Plastic Surgery LLC

Plastic Surgery Physician · Pooler, GA

Organization Active NPI

NPI number 1194284299

Practice location

1000 Towne Center Blvd Ste 506
Pooler, GA 31322-4068
Phone
(912) 988-1781
Fax
(912) 777-7591

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NPI record

NPI
1194284299
Entity type
Organization (Type 2)
Enumeration date
March 18, 2019
Last updated
March 18, 2019
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic Surgery Physician Primary 208200000X — —

Mailing address

1000 Towne Center Blvd Ste 501
Pooler, GA 31322-4061
Phone
(912) 988-1781
Fax
(912) 777-7591

Authorized official

Name
Francis C Pettigrew, MD
Title
Owner/Physician
Phone
(912) 988-1781

About Pooler Plastic Surgery LLC

Pooler Plastic Surgery LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic Surgery Physician (code 208200000X). The practice location is 1000 Towne Center Blvd Ste 506, Pooler, GA 31322-4068. The NPI number 1194284299 was assigned on March 18, 2019 and the record was last updated on March 18, 2019.

The authorized official for this organization is Francis C Pettigrew, MD, Owner/Physician.

Frequently asked questions

What is the NPI number of Pooler Plastic Surgery LLC?

The NPI number is 1194284299.

What is the phone number of Pooler Plastic Surgery LLC?

The phone number listed for the practice location is (912) 988-1781.

Where is Pooler Plastic Surgery LLC located?

1000 Towne Center Blvd Ste 506, Pooler, GA 31322-4068.

What is the taxonomy code for Pooler Plastic Surgery LLC?

The primary taxonomy code is 208200000X – Plastic Surgery Physician.

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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