National Provider Identifier Database

ATLANTA RECONSTRUCTIVE SURGERY LLC
Plastic and Reconstructive Surgery


Contact Information

ATLANTA RECONSTRUCTIVE SURGERY LLC
1218 W PACES FERRY RD NW
SUITE 204
ATLANTA, GA30327-2308
Phone: 855-363-3245
Fax: 718-672-3280
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for ATLANTA RECONSTRUCTIVE SURGERY LLC

NPI Number 1033519970
Legal business name
LBN
ATLANTA RECONSTRUCTIVE SURGERY LLC
Authorized official SAMUEL SHIH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 08/28/2014
Last updated 07/21/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 066421

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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