MICROMED LLC NPI 1104450402

NPI Information

NPI: 1104450402
Provider Name: MICROMED LLC
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
1266 W PACES FERRY RD NW STE 231
ATLANTA, GA
ZIP 30327
Phone: (917) 991-0319
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MICROMED LLC is a plastic and reconstructive surgery surgery in Atlanta, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. MICROMED LLC NPI is 1104450402. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1266 W PACES FERRY RD NW STE 231
ATLANTA, GA
ZIP 30327-306
Phone: (917) 991-0319

The provider's authorized official is Theresa Wang .
The authorized official title is President and has the following contact phone number (917) 991-0319.

The enumeration date for this NPI number is 2/25/2020 and was last updated on 2/25/2020.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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