Organization Name: | FACESFIRST,LLC |
NPI Number: | 1023259454 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH G WHITAKER (SOLE OWNER) |
Mailing Address: | 1741 Patriots Way Nw Kennesaw |
State: | GA US |
Postal Code: | 301524859 |
Phone Number: | 6783926808 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2009 |
NPI Last Update Date: | 03/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | 41239 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |