NPI 1033856711

Reconstructive and Plastic Urology LLC

Organisation Urology Physician Atlanta, GA

Practice location

Address: 3193 Howell Mill Rd NW STE 322, Atlanta, GA 30327-2100
Phone: (470) 788-8379
Mailing address: 955 Clifton Rd NE, Atlanta, GA 30307-1225

Authorised official

Name: Kenneth Jeff Carney
Title: Owner
Phone: (404) 593-1176

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Georgia →

Registry record

NPI: 1033856711
Entity type: Organization
NPI issued: 16 May 2022
Record last updated: 16 May 2022

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.