Organization
ASTRA PLASTIC SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KILLINGSWORTH MD (OWNER)
(770) 807-4940
Entity
Organization
Contact information
Practice address
3330 PRESTON RIDGE RD STE 390, ALPHARETTA, GA 30005-4508
(678) 208-6008
(678) 208-6375
Mailing address
3330 PRESTON RIDGE RD STE 390, ALPHARETTA, GA 30005-4508
(678) 208-6008
(678) 208-6375
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
—
2086S0105X
Surgery of the Hand (Surgery) Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2023
Last updated
04/30/2024
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