MEDICARE: RPC EMPLOYEE SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0122X	Plastic and Reconstructive Surgery Physician

General Provider Information

NPI Number	:	1881100337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RPC EMPLOYEE SERVICES, LLC

Provider Business Mailing Address
First Line	:	975 JOHNSON FERRY RD STE 100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1618
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 JOHNSON FERRY RD STE 100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30342-1618
Country	:	US
Telephone Number	:	404-256-1311
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	ANDY GUTH
Credential	:
Telephone Number	:	404-256-1311

Provider Enumeration Date	:	12/20/2017
Last Update Date	:	12/20/2017

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