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

Marietta Plastic Surgery

Organization Plastic and Reconstructive Surgery Physician · NPI 1316165723

Marietta Plastic Surgery is a Plastic and Reconstructive Surgery Physician in Marietta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

823 Campbell Hill St NW
Marietta, GA 30060-1144
Phone: (770) 425-0118
Fax: (770) 426-1626
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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 number1316165723
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Bockhorst — Practice Administrator · (770) 425-0118
NPI enumeratedApril 23, 2007
Last updated in NPPESJuly 21, 2022
Mailing address823 Campbell Hill St Nw, Marietta, GA 30060-1144

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