Organization
NORTHSIDE PLASTIC SURGERY OF ATLANTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KSHITIJ V MAJMUNDAR MD (OWNER)
(770) 475-3146
Entity
Organization
Contact information
Practice address
1357 HEMBREE RD, SUITE 200, ROSWELL, GA 30076-5722
(770) 475-3146
Mailing address
1357 HEMBREE RD, SUITE 200, ROSWELL, GA 30076-5722
(770) 475-3146
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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