Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Micromed LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1104450402

Micromed LLC provides Plastic and Reconstructive Surgery Physician services 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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