Organization
KALOS SURGICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN COLLIN STONG M.D. (OWNER/PHYSICIAN)
(404) 963-6665
Entity
Organization
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD NE, STE 910, ATLANTA, GA 30342-1699
(404) 963-6665
Mailing address
5670 PEACHTREE DUNWOODY RD NE, STE 910, ATLANTA, GA 30342-1699
(404) 963-6665
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
54676
GA
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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