NPI 1033519970
Atlanta Reconstructive Surgery LLC
Practice location
- Address
- 1218 W Paces Ferry Rd NW Suite 204, Atlanta, GA 30327-2308
- Phone
- (855) 363-3245
- Fax
- (718) 672-3280
- Mailing address
- 2870 Peachtree Rd NW STE 188, Atlanta, GA 30305-2918
Authorised official
- Name
- Samuel Shih
- Title
- Owner
- Phone
- (443) 939-4050
Registered specialties
Plastic and Reconstructive Surgery Physician
Primary
Registry record
- NPI
- 1033519970
- Entity type
- Organization
- NPI issued
- 28 Aug 2014
- Record last updated
- 21 Jul 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.