Facesfirst,LLC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

41239 Issued in GA

Legal business name

FACESFIRST,LLC

Practice address

1741 Patriots Way NW
Kennesaw, GA 30152-4859

Phone

(678) 392-6808

NPI assigned

Mar 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Elizabeth G Whitaker, MD

Title

Sole Owner

Phone

(678) 392-6808

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237075200000",
    "number": "1023259454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 PATRIOTS WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 PATRIOTS WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524859",
            "telephone_number": "678-392-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACESFIRST,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-15",
        "last_updated": "2009-03-15",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "678-392-6808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "GA",
            "license": "41239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Kennesaw, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.