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TAILOR MADE LOOKS INSTITUTE OF PLASTIC SURGERY LLC NPI 1952791147


NPI Information

NPI: 1952791147
Provider Name: TAILOR MADE LOOKS INSTITUTE OF PLASTIC SURGERY LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3193 HOWELL MILL RD NW
SUITE 328
ATLANTA, GA
ZIP 30327
Phone: (404) 350-9355
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TAILOR MADE LOOKS INSTITUTE OF PLASTIC SURGERY LLC is an ambulatory surgical clinic center in Atlanta, GA. TAILOR MADE LOOKS INSTITUTE OF PLASTIC SURGERY LLC NPI is 1952791147. The provider is registered as an organization entity type.

The provider's business location address is:

3193 HOWELL MILL RD NW
SUITE 328
ATLANTA, GA
ZIP 30327-119
Phone: (404) 350-9355
Fax: (404) 350-9069

The provider's authorized official is Medhanie Chichi Berhane .
The authorized official title is Surgeon and has the following contact phone number (404) 350-9355.

The enumeration date for this NPI number is 1/27/2015 and was last updated on 2/2/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical20800000XGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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