Organization
ATLANTA RECONSTRUCTIVE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL SHIH M.D. (OWNER)
(443) 939-4050
Entity
Organization
Contact information
Practice address
1218 W PACES FERRY RD NW, SUITE 204, ATLANTA, GA 30327-2308
(855) 363-3245
(718) 672-3280
Mailing address
2870 PEACHTREE RD NW STE 188, ATLANTA, GA 30305-2918
(443) 939-4050
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
066421
GA
Other
Enumeration date
08/28/2014
Last updated
07/21/2020
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