National Provider Identifier Database

ASTRA PLASTIC SURGERY LLC
Plastic and Reconstructive Surgery


Contact Information

ASTRA PLASTIC SURGERY, LLC
3330 PRESTON RIDGE RD STE 380
ALPHARETTA, GA30005-4596
Phone: 678-208-6008
Fax:
Website:
Specialty Taxonomy Code
* Plastic and Reconstructive Surgery 2086S0122X
Surgery of the Hand 2086S0105X

* Indicates primary specialty

NPI Profile & details for ASTRA PLASTIC SURGERY, LLC

NPI Number 1992063606
Legal business name
LBN
ASTRA PLASTIC SURGERY, LLC
Authorized official CHRISTOPHER KILLINGSWORTH - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/01/2012
Last updated 04/07/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 67666

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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