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Organization
PLASTIC AND RECONSTRUCTIVE SURGERY OF ATLANTA
Active
Organization
PLASTIC AND RECONSTRUCTIVE SURGERY OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THERESA WANG M.D. (OWNER)
(917) 991-0319
Entity
Organization
Contact information
Practice address
1218 W PACES FERRY RD NW, ATLANTA, GA 30327-2308
(917) 991-0319
(718) 672-3280
Mailing address
2795 PEACHTREE RD NE, UNIT 309, ATLANTA, GA 30305-3611
(917) 991-0319
(718) 672-3280
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
070000
GA
Other
Enumeration date
06/28/2013
Last updated
02/07/2014
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