Organization
PEDIATRIC PLASTIC SURGERY AND CRANIOFACIAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY GUTH (EXECUTIVE DIRECTOR)
(404) 256-1311
Entity
Organization
Contact information
Practice address
975 JOHNSON FERRY RD NE, SUITE 500, ATLANTA, GA 30342-1619
(404) 256-1311
(404) 705-2772
Mailing address
975 JOHNSON FERRY RD NE, SUITE 500, ATLANTA, GA 30342-1619
(404) 256-1311
(404) 705-2772
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
GA
Other
Enumeration date
02/27/2007
Last updated
07/21/2022
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