Organization · Type 2 NPI
Marietta Plastic Surgery
Plastic and Reconstructive Surgery Physician · Woodstock, GA
NPI number
1164746244
Active
Practice location
149 Towne Lake Pkwy
Woodstock, GA 30188-4859
Fax (678) 494-2379
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1164746244
Marietta Plastic Surgery's National Provider Identifier is 1164746244, issued on Mar 18, 2010. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Woodstock, GA. The record was last updated on Mar 18, 2010.