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Contact Information

MARIETTA PLASTIC SURGERY
149 TOWNE LAKE PKWY
WOODSTOCK, GA30188-4859
 Phone: 678-494-2380
 Fax: 678-494-2379
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARIETTA PLASTIC SURGERY

NPI # 1164746244
LBN Legal business name MARIETTA PLASTIC SURGERY
Authorized official DONNA BOCKHORST - (PRACTICE ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/18/2010
Last updated 03/18/2010 - About 16 years ago
Identifiers n/a
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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