National Provider Identifier Database

JC PLASTIC SURGERY OF ATLANTA LLC
Plastic and Reconstructive Surgery


Contact Information

JC PLASTIC SURGERY OF ATLANTA, LLC
5505 PEACHTREE DUNWOODY RD
SUITE 220
ATLANTA, GA30342-1705
Phone: 404-312-3878
Fax: 404-829-1312
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for JC PLASTIC SURGERY OF ATLANTA, LLC

NPI Number 1114387040
Legal business name
LBN
JC PLASTIC SURGERY OF ATLANTA, LLC
Authorized official YEON-JEEN CHANG - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 03/04/2016
Last updated 03/04/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 63841

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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