SOUTHEASTERN AESTHETIC SURGERY, LLC – NPI #1962793505
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Health Care Provider Taxonomy Code for Plastic Surgery

SOUTHEASTERN AESTHETIC SURGERY, LLC is a plastic surgeon located in EVANS, GA. NPPES has assigned the NPI number 1962793505 to SOUTHEASTERN AESTHETIC SURGERY, LLC on May 01, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHEASTERN AESTHETIC SURGERY, LLC below.

NPI Profile for
SOUTHEASTERN AESTHETIC SURGERY, LLC

NPI Number
1962793505
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHEASTERN AESTHETIC SURGERY, LLC
Primary location
447 N BELAIR RD
SUITE 105
EVANS, GA 30809-3090
Phone: (561) 310-1668 Fax:
Mailing address
4115 COLUMBIA RD
SUITE 5331
MARTINEZ, GA 30907-0405
Phone: (561) 310-1668 Fax:
Organization Subpart
No
Authorized Official
WILLIAM AUSTIN
MANAGING MEMBER
Phone: (561) 310-1668
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)		 GA 59595

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.