Organization · Type 2 NPI
West Side Plastic Surgery, Inc
Plastic and Reconstructive Surgery Physician · Atlanta, GA
NPI number
1730380775
Active
Practice location
960 Johnson Ferry Rd N.e., Suite 336
Atlanta, GA 30342
Fax (866) 935-5995
Mailing address
4480 S Cobb Dr SE Ste H, Box 323
Smyrna, GA 30080-6984
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 50518 (GA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1730380775
West Side Plastic Surgery, Inc's National Provider Identifier is 1730380775, issued on May 29, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Atlanta, GA. The record was last updated on Apr 11, 2011.