Organization
MARIETTA PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE BOCKHORST (PRACTICE ADMINISTRATOR)
(770) 425-0118
Entity
Organization
Contact information
Practice address
823 CAMPBELL HILL ST NW, MARIETTA, GA 30060-1144
(770) 425-0118
(770) 426-1626
Mailing address
823 CAMPBELL HILL ST NW, MARIETTA, GA 30060-1144
(770) 425-0118
(770) 426-1626
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
GA
Other
Enumeration date
04/23/2007
Last updated
07/21/2022
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