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Organization

EAST COAST PLASTIC SURGERY OF GEORGIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL MANZO (ACCOUNTS RECEIVABLE MANAGER)
(212) 628-7300
Entity
Organization

Contact information

Practice address
2230 GODBY RD, ATLANTA, GA 30349-5002
(212) 628-7300
(212) 628-7302
Mailing address
2230 GODBY RD, ATLANTA, GA 30349-5002
(212) 628-7300
(212) 628-7302

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
07/21/2026
Last updated
07/21/2026
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