Whalio Doctors

NPI 1124046990

Plastikos Plastic and Reconstructive Surgery

Organisation Plastic Surgery Physician Atlanta, GA

Practice location

Address
4370 Georgetown Sq, Atlanta, GA 30338-6205
Phone
(770) 457-4677
Fax
(770) 457-4428

Authorised official

Name
Susan Kolb
Title
Owner/Plastic Surgeon
Phone
(770) 457-4677

Registered specialties (4)

Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 31272 (GA)
Surgery of the Hand (Plastic Surgery) Physician
Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence 31272 (GA)
Primary Podiatric Medicine Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence POD001047 (GA)
Foot & Ankle Surgery Podiatrist
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence POD001047 (GA)

Registry record

NPI
1124046990
Entity type
Organization
NPI issued
18 Jul 2006
Record last updated
28 Dec 2007

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.