West Side Plastic Surgery, Inc

LBN: West Side Plastic Surgery, Inc
West Side Plastic Surgery, Inc is an health care organization with primary practice located at 960 Johnson Ferry Rd N.E. Suite 336, Atlanta GA 30342. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. West Side Plastic Surgery, Inc can be contacted via phone (404) 805-5535, or through Gipson, Vetra A via phone (404) 805-0646.

Contact Information

Primary practice address
960 Johnson Ferry Rd N.E. Suite 336 Atlanta GA 30342
Phone: (404) 805-5535
Fax: (866) 935-5995
Website:
Map and Directions
Authorized official contact:
Name: Gipson, Vetra A Doctor of Medicine (MD)
Phone: (404) 805-0646

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 50518 Georgia

Profile Details

NPI number 1730380775
LBN Legal business name West Side Plastic Surgery, Inc
DBA Doing business as
Authorized official Gipson, Vetra A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2007
Last updated Apr 11th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730380775 NPPES
Georgia MEDICAID 000963102B

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