IMAGE PLASTIC SURGERY CENTER, INC – NPI #1669539078
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

IMAGE PLASTIC SURGERY CENTER, INC is a surgeon located in MACON, GA. NPPES has assigned the NPI number 1669539078 to IMAGE PLASTIC SURGERY CENTER, INC on January 03, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 IMAGE PLASTIC SURGERY CENTER, INC below.

NPI Profile for
IMAGE PLASTIC SURGERY CENTER, INC

NPI Number
1669539078
Enumeration Date

(more than 19 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
IMAGE PLASTIC SURGERY CENTER, INC
Primary location
682 HEMLOCK ST
#410
MACON, GA 31201-6883
Phone: (478) 745-7925 Fax: (478) 745-7885
Mailing address
PO BOX 4207
MACON, GA 31208-4207
Phone: (478) 745-7925 Fax:
Organization Subpart
No
Authorized Official
OLADIRAN AFOLABI-BROWN
OWNER
Phone: (478) 745-7925
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
GA

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.