Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Atlanta Reconstructive Surgery LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1033519970

Atlanta Reconstructive Surgery LLC is a Plastic and Reconstructive Surgery Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2014.

Licensed in
GA
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1218 W Paces Ferry Rd NW Ste 204
Atlanta, GA 30327-2308
Phone: (855) 363-3245
Fax: (718) 672-3280
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 066421 (GA)

Record details

NPI number1033519970
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Shih — Owner · (443) 939-4050
NPI enumeratedAugust 28, 2014
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address2870 Peachtree Rd Nw Ste 188, Atlanta, GA 30305-2918

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