| NPI | 1144228883 | 
|---|---|
| Former Legal Business Name | SHANKLIN PLASTIC SURGERY CENTER, LLC | 
| Entity Type | Organization | 
| Authorized Contact | BARBARA KEEL Patient Account Manager 912-920-5624  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: GA 025270)  | 
| Enumeration Date | 2005-07-07 | 
| Last Update Date | 2018-05-30 |