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Contact Information

NORTHWEST GEORGIA PLASTIC SURGERY LLC
9236 MAIN STREET
SUITE 3C
WOODSTOCK, GA30188
 Phone: 404-220-7689
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NORTHWEST GEORGIA PLASTIC SURGERY LLC · (Female)

NPI # 1568182970
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2022
Last updated 09/13/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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