Organization
ADVANCED MICRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAK HO SAMUEL SHIH (PRESIDENT)
(443) 939-4050
Entity
Organization
Contact information
Practice address
1266 W PACES FERRY RD NW STE 231, ATLANTA, GA 30327-2306
(443) 929-4050
Mailing address
1266 W PACES FERRY RD NW STE 231, ATLANTA, GA 30327-2306
(443) 939-4050
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
07/21/2020
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