Organization
GEORGIA PLASTIC & RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY OKORO M.D. (CEO)
(770) 485-1554
Entity
Organization
Contact information
Practice address
2285 ASQUITH AVE SW, SUITE 200, MARIETTA, GA 30008-6008
(770) 485-1554
Mailing address
PO BOX 388, SMYRNA, GA 30081-0388
(770) 485-1554
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
044295
GA
Other
Enumeration date
01/09/2010
Last updated
11/17/2012
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