Basic Information
| Provider Information | |||||||||
| NPI: | 1588786453 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JAIN PLASTIC SURGERY, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2522 WARM SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 319045640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7063229313 | ||||||||
| FaxNumber: | 7063229314 | ||||||||
| Practice Location | |||||||||
| Address1: | 2522 WARM SPRINGS RD | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 319045640 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7063229313 | ||||||||
| FaxNumber: | 7063229314 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/04/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | JAIN | ||||||||
| AuthorizedOfficialFirstName: | ASHISH | ||||||||
| AuthorizedOfficialMiddleName: | K. | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 7063229313 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 045839 | GA | Y | 193400000X SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.