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Contact Information

PLASTIKOS PLASTIC AND RECONSTRUCTIVE SURGERY
4370 GEORGETOWN SQ
ATLANTA, GA30338-6205
 Phone: 770-457-4677
 Fax: 770-457-4428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for PLASTIKOS PLASTIC AND RECONSTRUCTIVE SURGERY

NPI Number 1124046990
LBN Legal business name PLASTIKOS PLASTIC AND RECONSTRUCTIVE SURGERY
Authorized official SUSAN KOLB - (OWNER/PLASTIC SURGEON)
Entity Organization
Organization subpart 1 No
Enumeration date 07/18/2006
Last updated 12/28/2007 - About 18 years ago
Identifiers
GA License # 31272
GA License # POD001047
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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