Organization
RECONSTRUCTIVE AND PLASTIC UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH JEFF CARNEY MD (OWNER)
(404) 593-1176
Entity
Organization
Contact information
Practice address
3193 HOWELL MILL RD NW STE 322, ATLANTA, GA 30327-2100
(470) 788-8379
Mailing address
955 CLIFTON RD NE, ATLANTA, GA 30307-1225
(404) 593-1176
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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