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 |