NPI | 1972845493 |
---|---|
Doing Business As | PLASTIC SURGERY CENTER |
Entity Type | Organization |
Authorized Contact | TAMMY M SMITH Practice Manager 270-245-2105 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY 41340) |
Enumeration Date | 2013-03-22 |
Last Update Date | 2013-03-22 |