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Contact Information

PEDIATRIC PLASTIC SURGERY AND CRANIOFACIAL ASSOCIATES, PC
975 JOHNSON FERRY RD NE
SUITE 500
ATLANTA, GA30342-1619
 Phone: 404-256-1311
 Fax: 404-705-2772
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PEDIATRIC PLASTIC SURGERY AND CRANIOFACIAL ASSOCIATES, PC

NPI Number 1639206030
LBN Legal business name PEDIATRIC PLASTIC SURGERY AND CRANIOFACIAL ASSOCIATES, PC
Authorized official ANDY GUTH - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2007
Last updated 07/21/2022 - About 4 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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