Provider Demographics
NPI:1487179586
Name:MOST PLASTIC & RECONSTRUCTIVE SURGERY PC
Entity Type:Organization
Organization Name:MOST PLASTIC & RECONSTRUCTIVE SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOST
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-303-6678
Mailing Address - Street 1:PO BOX 14662
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-1662
Mailing Address - Country:US
Mailing Address - Phone:912-303-6678
Mailing Address - Fax:
Practice Address - Street 1:114 CANAL ST STE 102
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-4153
Practice Address - Country:US
Practice Address - Phone:912-303-6678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOST PLASTIC & RECONSTRUCTIVE SURGERY PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-09
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty