Organization
PACES SURGICAL LLCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL SHIH MD (DIRECTOR)
(443) 939-4050
Entity
Organization
Contact information
Practice address
1218 W PACES FERRY RD NW STE 204, ATLANTA, GA 30327-2308
(404) 480-4888
Mailing address
1266 W PACES FERRY RD NW # 231, ATLANTA, GA 30327-2306
(443) 939-4050
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/10/2020
Last updated
08/10/2020
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