JC PLASTIC SURGERY OF ATLANTA LLC NPI 1114387040

NPI Information

JC PLASTIC SURGERY OF ATLANTA, LLC is a plastic and reconstructive surgery surgery in Atlanta, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. JC PLASTIC SURGERY OF ATLANTA, LLC NPI is 1114387040. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5505 PEACHTREE DUNWOODY RD
SUITE 220
ATLANTA, GA
ZIP 30342-705
Phone: (404) 312-3878
Fax: (404) 829-1312

The provider's authorized official is Yeon-jeen Chang .
The authorized official title is President and has the following contact phone number (404) 312-3878.

The enumeration date for this NPI number is 3/4/2016 and was last updated on 3/4/2016.

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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