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NPI Profile for MARIETTA PLASTIC SURGERY in MARIETTA, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1316165723 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/23/2007 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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MARIETTA PLASTIC SURGERY
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| JAMES B DEPEW, MD FACS 120 VANN ST NE STE 150 MARIETTA, GA |
| DAVID H HAFNER, MD 61 WHITCHER STREET NE MARIETTA, GA |
| MICHAEL PETROSKY, MD 120 VANN ST NE MARIETTA, GA |
| JUSTIN M WATSON, MD 55 WHITCHER STREET 250 MARIETTA, GA |
| COREY P HARKINS, MD 120 VANN STREET MARIETTA, GA |
| KI WAN KIM, MD 61 WHITCHER ST NE STE 4120 MARIETTA, GA |
| KEREN A BASHAN GILZENRAT, MD 55 WHITCHER ST NE STE 130 MARIETTA, GA |
| EMILY LAGERGREN, MD 61 WHITCHER ST NE STE 2100 MARIETTA, GA |
| VIRALKUMAR S PATEL, MD 3903 SOUTH COBB DRIVE SMYRNA, GA |
| DKUMAR LLC 3903 SOUTH COBB DRIVE SMYRNA, GA |
MARIETTA PLASTIC SURGERY