Healthcare Provider Details

I. General information

NPI: 1942578539
Provider Name (Legal Business Name): MOST PLASTIC & RECONSTRUCTIVE SURGERY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2011
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5205 FREDERICK ST STE A
SAVANNAH GA
31405-4520
US

IV. Provider business mailing address

5205 FREDERICK ST STE A
SAVANNAH GA
31405-4520
US

V. Phone/Fax

Practice location:
  • Phone: 912-303-6678
  • Fax: 912-355-3066
Mailing address:
  • Phone: 912-303-6678
  • Fax: 912-355-3066

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number056148
License Number StateGA

VIII. Authorized Official

Name: DANIEL MOST
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 912-303-6678