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Contact Information

PLASTIC AND RECONSTRUCTIVE SURGERY OF ATLANTA
1218 W PACES FERRY RD NW
ATLANTA, GA30327-2308
 Phone: 917-991-0319
 Fax: 718-672-3280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PLASTIC AND RECONSTRUCTIVE SURGERY OF ATLANTA · (Female)

NPI # 1598105983
Status Active
Credentials
Entity Individual
Enumeration date 06/28/2013
Last updated 02/07/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 070000
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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