SOUTHEASTERN AESTHETIC AND RECONSTRUCTIVE SURGERY
NPI 1093255044
Surgery - Plastic and Reconstructive Surgery in Newnan, GA

Q: What is Southeastern Aesthetic And Reconstructive Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Active since February 24, 2017

155 GREENVILLE ST, NEWNAN, GA 30263(404) 642-7722 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southeastern Aesthetic And Reconstructive Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN AESTHETIC AND RECONSTRUCTIVE SURGERY (NPI 1093255044) is a healthcare organization registered as a plastic and reconstructive surgery in Newnan, Georgia and active in the NPI registry since February 2017. The organization lists Frederick Letois Durden, Physician, as its authorized official.

NPPES Registry Identity

NPI1093255044

Entity TypeOrganization

Primary Taxonomy2086S0122X

Legal Business NameSOUTHEASTERN AESTHETIC AND RECONSTRUCTIVE SURGERY

Location Address155 GREENVILLE STNewnan, GA 30263-2630

Mailing Address155 Greenville StNewnan, GA 30263-2630 · (404) 642-7722

Phone(404) 642-7722

Organization SubpartNo

Authorized OfficialFrederick Letois DurdenPhysician · (404) 642-7722

Enumeration DateFebruary 24, 2017

✔ NPI 1093255044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in GA · 65539

Definition

A surgeon who specializes in plastic and reconstructive surgery.

155 GREENVILLE ST, Newnan, GA 30263

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Aesthetic And Reconstructive Surgery's NPI number?

The NPI number for Southeastern Aesthetic And Reconstructive Surgery is 1093255044. It was assigned to this organization in the NPPES registry on February 24, 2017.

Where is Southeastern Aesthetic And Reconstructive Surgery located?

Southeastern Aesthetic And Reconstructive Surgery is located at 155 Greenville St, Newnan, GA 30263. The listed phone number is (404) 642-7722.

What is Southeastern Aesthetic And Reconstructive Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Southeastern Aesthetic And Reconstructive Surgery was last updated on February 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.