Organization
PLASTIC SURGERY ASSOCIATES OF GEORGIA
Active
Other names
Nelson Center for Plastic and Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON CASTILLO MD (MANAGER)
(770) 317-9330
Entity
Organization
Contact information
Practice address
5445 MERIDIAN MARKS RD, SUITE 395, ATLANTA, GA 30342-4763
(470) 440-1777
(678) 809-5001
Mailing address
5445 MERIDIAN MARKS RD, SUITE 395, ATLANTA, GA 30342-4763
(470) 440-1777
(678) 809-5001
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
72195
GA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
72195
GA
Other
Enumeration date
12/04/2014
Last updated
04/22/2015
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