Marietta Plastic Surgery

Organization Plastic and Reconstructive Surgery Physician · NPI 1164746244

Marietta Plastic Surgery is a Plastic and Reconstructive Surgery Physician in Woodstock, Georgia. Licensed in Georgia. Registered with an NPI since 2010.

Licensed in: GA
In the registry since: 2010

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Practice location Address checks out

149 Towne Lake Pkwy
Woodstock, GA 30188-4859
Phone: (678) 494-2380
Fax: (678) 494-2379

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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 (GA)

Record details

NPI number	1164746244
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Donna Bockhorst — Practice Admin · (770) 425-0118
NPI enumerated	March 18, 2010
Last updated in NPPES	March 18, 2010
Mailing address	149 Towne Lake Pkwy, Woodstock, GA 30188-4859