Organization
BUCKHEAD PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN NORMAN LARSEN M.D. (PRESIDENT)
(404) 367-9005
Entity
Organization
Contact information
Practice address
4684 ROSWELL RD, SUITE B, ATLANTA, GA 30342-3074
(404) 367-9005
(678) 240-4188
Mailing address
4684 ROSWELL RD, SUITE B, ATLANTA, GA 30342-3074
(404) 367-9005
(678) 240-4188
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
045278
GA
Other
Enumeration date
10/14/2010
Last updated
08/25/2016
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