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

Pediatric Plastic Surgery and Craniofacial Associates, PC

Organization Plastic and Reconstructive Surgery Physician · NPI 1639206030

Pediatric Plastic Surgery and Craniofacial Associates, PC is a Plastic and Reconstructive Surgery Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

975 Johnson Ferry Rd NE Ste 500
Atlanta, GA 30342-1619
Phone: (404) 256-1311
Fax: (404) 705-2772
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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 number1639206030
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andy Guth — Executive Director · (404) 256-1311
NPI enumeratedFebruary 27, 2007
Last updated in NPPESJuly 21, 2022
Mailing address975 Johnson Ferry Rd Ne, Suite 500, Atlanta, GA 30342-1619

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