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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 Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ATLANTA RECONSTRUCTIVE SURGERY LLC

NPI # 1033519970
LBN Legal business name ATLANTA RECONSTRUCTIVE SURGERY LLC
Authorized official SAMUEL SHIH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/28/2014
Last updated 07/21/2020 - About 6 years ago
Identifiers
GA License # 066421
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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