National Provider Identifier Database

MICROMED LLC
Plastic and Reconstructive Surgery


Contact Information

MICROMED LLC
1266 W PACES FERRY RD NW STE 231
ATLANTA, GA30327-2306
Phone: 917-991-0319
Fax:
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for MICROMED LLC

NPI Number 1104450402
Legal business name
LBN
MICROMED LLC
Authorized official THERESA WANG - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/25/2020
Last updated 02/25/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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