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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 Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

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

NPI Number 1114387040
LBN Legal business name JC PLASTIC SURGERY OF ATLANTA, LLC
Authorized official YEON-JEEN CHANG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/04/2016
Last updated 03/04/2016 - About 10 years ago
Identifiers
GA License # 63841
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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