Organization · Type 2 NPI

Center for Plastic & Reconstructive Surgery PSC

Plastic and Reconstructive Surgery Physician · Bowling Green, KY

NPI number 1710084827 Active

Practice location

1048 Ashley St Ste 303
Bowling Green, KY 42103-2451

Fax (270) 842-5683

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician	2086S0122X	33744 (KY)
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

3 other providers at this address

Commonwealth Health Corporation, Inc.Plastic and Reconstructive Surgery Physician Bowling Green, KY NPI 1104470699
Fouad Victor Atalla, MDPlastic and Reconstructive Surgery Physician Bowling Green, KY NPI 1063408771
Katherine Huber Durnen, MDPlastic and Reconstructive Surgery Physician Bowling Green, KY NPI 1386986040

Other plastic and reconstructive surgery physician providers in Bowling Green

See all in Bowling Green →

NPI record

NPI: 1710084827
Entity type: Organization (Type 2)
Issued: Sep 20, 2006
Last updated: Oct 7, 2020
Status: Active

Other names

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Atalla Plastic Surgery Center · doing business as
Atalla Plastic Surgery Center · doing business as

Authorized official

Dr. Fouad V Atalla, MD
President/owner
(270) 796-8960

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1710084827

Center for Plastic & Reconstructive Surgery PSC's National Provider Identifier is 1710084827, issued on Sep 20, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Bowling Green, KY. The record was last updated on Oct 7, 2020.