Individual provider · Type 1 NPI

Shannon Su

Plastic Surgery Physician · Atlanta, GA

NPI number 1235701442 Active

Practice location

100 Woodruff Cir NE Ste P375
Atlanta, GA 30322-1020

Mailing address

1600 Divisadero St Rm H2907
San Francisco, CA 94143-3010

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XPTL19410 (CA)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1235701442

Shannon Su's National Provider Identifier is 1235701442, issued on Jul 15, 2021. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Atlanta, GA. The record was last updated on Oct 9, 2025.