Southeastern Reconstructive Services LLC

Plastic and Reconstructive Surgery Physician · Savannah, GA

Organization Active NPI

NPI number 1871901009

Practice location

5205 Frederick St Ste B
Savannah, GA 31405-4520
Phone
(912) 354-4969
Fax
(912) 354-5019

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NPI record

NPI
1871901009
Entity type
Organization (Type 2)
Enumeration date
July 31, 2014
Last updated
July 31, 2014
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Plastic and Reconstructive Surgery Physician Primary 2086S0122X 22651 LA

Mailing address

PO Box 15878
Savannah, GA 31416-2578
Phone
(912) 354-4969
Fax
(912) 354-5019

Authorized official

Name
Lori Wechsler
Title
Billing
Phone
(912) 354-4969

About Southeastern Reconstructive Services LLC

Southeastern Reconstructive Services LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Plastic and Reconstructive Surgery Physician (code 2086S0122X). The practice location is 5205 Frederick St Ste B, Savannah, GA 31405-4520. The NPI number 1871901009 was assigned on July 31, 2014 and the record was last updated on July 31, 2014.

Southeastern Reconstructive Services LLC lists a license in the registry: #22651 (LA) for Plastic and Reconstructive Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Lori Wechsler, Billing.

Frequently asked questions

What is the NPI number of Southeastern Reconstructive Services LLC?

The NPI number is 1871901009.

What is the phone number of Southeastern Reconstructive Services LLC?

The phone number listed for the practice location is (912) 354-4969.

Where is Southeastern Reconstructive Services LLC located?

5205 Frederick St Ste B, Savannah, GA 31405-4520.

What is the taxonomy code for Southeastern Reconstructive Services LLC?

The primary taxonomy code is 2086S0122X – Plastic and Reconstructive 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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