Organization
Y PLASTIC AND RECONSTRUCTIVE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASAF YALIF M.D. (OWNER)
(404) 822-4402
Entity
Organization
Contact information
Practice address
145 TOWNE LAKE PKWY, SUITE 101, WOODSTOCK, GA 30188-4847
(404) 822-4402
(678) 739-0041
Mailing address
145 TOWNE LAKE PKWY, SUITE 101, WOODSTOCK, GA 30188-4847
(404) 822-4402
(678) 739-0041
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
061379
GA
Other
Enumeration date
04/21/2011
Last updated
06/13/2011
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