Organization
HINJEW1
Active
Other names
Paces Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
SANJEEV KAILA (OWNER)
(404) 842-1000
Entity
Organization
Contact information
Practice address
365 E PACES FERRY RD NE, ATLANTA, GA 30305-2351
(404) 842-1000
Mailing address
365 E PACES FERRY RD NE, ATLANTA, GA 30305-2351
(404) 842-1000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
GA
Other
Enumeration date
10/17/2014
Last updated
07/21/2022
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