ATLANTA RECONSTRUCTIVE SURGERY LLC NPI 1033519970

NPI Information

ATLANTA RECONSTRUCTIVE SURGERY LLC is a plastic and reconstructive surgery surgery in Atlanta, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. ATLANTA RECONSTRUCTIVE SURGERY LLC NPI is 1033519970. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1218 W PACES FERRY RD NW
SUITE 204
ATLANTA, GA
ZIP 30327-308
Phone: (855) 363-3245
Fax: (718) 672-3280

The provider's authorized official is Samuel Shih .
The authorized official title is Owner and has the following contact phone number (443) 939-4050.

The enumeration date for this NPI number is 8/28/2014 and was last updated on 7/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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