# PLASTICITY CENTERS OF GEORGIA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942923917
- **Authorized official:** ANGEL POPE (MANAGER OF CENTER SUPPORT)
- **Authorized official phone:** (407) 955-4248

## Contact information

- **Practice address:** 200 COBB PKWY N STE 128, MARIETTA, GA 30062-3538
- **Practice address phone:** (404) 905-6000
- **Mailing address:** 991 SOUTHPARK DR STE 200, LITTLETON, CO 80120-5689
- **Mailing address phone:** (407) 955-4248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 111NN0400X | Neurology Chiropractor | — | NULL | — |
| 111NN0400X | Neurology Chiropractor | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/23/2022
- **Last updated:** 09/23/2022