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Organization
PEDIATRIC PLASTIC SURGERY AND CRANIOFACIAL ASSOCIATES, PC
Active
Organization
PEDIATRIC PLASTIC SURGERY AND CRANIOFACIAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY GUTH (EXECUTIVE DIRECTOR)
(404) 256-1311
Entity
Organization
Contact information
Practice address
975 JOHNSON FERRY RD NE, SUITE 500, ATLANTA, GA 30342-1619
(404) 256-1311
(404) 705-2772
Mailing address
975 JOHNSON FERRY RD NE, SUITE 500, ATLANTA, GA 30342-1619
(404) 256-1311
(404) 705-2772
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
GA
Other
Enumeration date
02/27/2007
Last updated
07/21/2022
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