Organization
NORTHSIDE PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA REINER (BOOKKEEPING INSURANCE)
(770) 751-1433
Entity
Organization
Contact information
Practice address
1265 UPPER HEMBREE RD, STE 100, ROSWELL, GA 30076-1143
(770) 751-1433
(770) 751-7410
Mailing address
1265 UPPER HEMBREE RD, STE 100, ROSWELL, GA 30076-1143
(770) 751-1433
(770) 751-7410
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
08/22/2020
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