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

Center for Plastic & Reconstructive Surgery PSC

Organization Plastic and Reconstructive Surgery Physician · NPI 1710084827

Center for Plastic & Reconstructive Surgery PSC is a Plastic and Reconstructive Surgery Physician in Bowling Green, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1048 Ashley St Ste 303
Bowling Green, KY 42103-2451
Phone: (270) 796-8960
Fax: (270) 842-5683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 33744 (KY)

Record details

NPI number1710084827
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Fouad Atalla — President/Owner · (270) 796-8960
Other names Atalla Plastic Surgery Center; Atalla Plastic Surgery Center
NPI enumeratedSeptember 20, 2006
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020
Mailing address1048 Ashley St Ste 303, Bowling Green, KY 42103-2451

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