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Summit Plastic Surgery

NPI 1215378583ActiveOrganization· Specialist· Brunswick, GA

Specialist in Brunswick, Georgia, registered in NPPES in July 2013. The authorized official on file is Paula J. Legere, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1215378583
StatusActive
Entity typeOrganization
NPI issuedJul 15, 2013
Last updated in NPPESAug 31, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000X045871GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

Other Specialist providers in Brunswick

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