National Provider Identifier Database

PLASTIC AND RECONSTRUCTIVE SURGERY OF ATLANTA
Plastic and Reconstructive Surgery


Contact Information

PLASTIC AND RECONSTRUCTIVE SURGERY OF ATLANTA
1218 W PACES FERRY RD NW
ATLANTA, GA30327-2308
Phone: 917-991-0319
Fax: 718-672-3280
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X

* Indicates primary specialty

NPI Profile & details for PLASTIC AND RECONSTRUCTIVE SURGERY OF ATLANTA

NPI Number 1598105983
Legal business name
LBN
PLASTIC AND RECONSTRUCTIVE SURGERY OF ATLANTA
Authorized official THERESA WANG - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/28/2013
Last updated 02/07/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 070000

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.

Reviews for PLASTIC AND RECONSTRUCTIVE SURGERY OF ATLANTA

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