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Contact Information

JC PLASTIC SURGERY OF ATLANTA, LLC
5505 PEACHTREE DUNWOODY RD
SUITE 220
ATLANTA, GA30342-1705
 Phone: 404-312-3878
 Fax: 404-829-1312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JC PLASTIC SURGERY OF ATLANTA LLC · (Female)

NPI # 1114387040
Status Active
Credentials
Entity Individual
Enumeration date 03/04/2016
Last updated 03/04/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 63841
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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