NPI age
19 years
Enumerated 2007-08-16
● Active Type 2 · Organization
Renaissance Plastic Surgery
Renaissance Plastic Surgery is 1 of 1,870 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stuart
Administrator
Last NPPES update
2007-08-16
Source: CMS NPPES provider record
How this organization compares
Across 1870 active specialist providers in Georgia.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2007
2007-08Enumerated in NPPES
2007
2007
Where they practice
Primary practice location
4030 Riverside Park Blvd
MacOn, GA 312101365
Mailing address
4030 Riverside Park Blvd
MacOn, GA 312101365
Authorized official
Kathy Stuart
Administrator
📞 4784742200
Other providers sharing this address
3 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Christopher McLendon, MD Surgery NPI 1427056647
- Roy Powell, MD Plastic Surgery NPI 1912905050
- Paul Syribeys, M.D. Plastic Surgery NPI 1497718258
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice context
Shared NPPES address. 3 individual providers use this primary address. This does not prove employment or affiliation.
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