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

Micromed LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1104450402

Micromed LLC is a Plastic and Reconstructive Surgery Physician in Atlanta, Georgia. Registered with an NPI since 2020.

In the registry since
2020
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

1266 W Paces Ferry Rd NW Ste 231
Atlanta, GA 30327-2306
Phone: (917) 991-0319
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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

Record details

NPI number1104450402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Theresa Wang — President · (917) 991-0319
NPI enumeratedFebruary 25, 2020
Last updated in NPPESFebruary 25, 2020
Certification dateFebruary 25, 2020
Mailing address1266 W Paces Ferry Rd Nw Ste 231, Atlanta, GA 30327-2306

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