PREMIER PLASTIC SURGERY ASSOCIATES, LLC
Radiology at Decatur Rd, Decatur, GA

License number
Georgia 057460
Category
Radiology
Type
Plastic and Reconstructive Surgery
Owner
Name: DR. VIKISHA FRIPP MD
Title: OWNER
Phone: (404) 292-4585
Address
Address
2675 N Decatur Rd SUITE 501, Decatur, GA 30033
National Provider ID: 1831360296
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PREMIER PLASTIC SURGERY ASSOCIATES, LLC

Decatur, GA  -  Atlanta, GA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Nov 19, 2007
Phone:
(404) 292-4585 (Phone)
Addresses:
2675 N Decatur Rd, Decatur, GA 30033 (Physical)
PO Box 11546, Atlanta, GA 30355
State ID:
07094532
Business type:
Domestic Limited Liability Company
Managers:
Vikisha T. Fripp Member, Plastic Surgeon, Medical Doctor, Owner, inactive,Monica Chapman Office Manager, inactive,Carl Vincent Office Manager, inactive,...
Agent:
Vikisha Tyese Fripp,2379 Harmony Rdg Ct, Lithonia, GA 30058 (Physical)

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