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

West Side Plastic Surgery, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1730380775

West Side Plastic Surgery, Inc 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?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

960 Johnson Ferry Rd N.e Ste 336
Atlanta, GA 30342
Phone: (404) 805-5535
Fax: (866) 935-5995
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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 · Licence 50518 (GA)

Record details

NPI number1730380775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vetra Gipson — Owner · (404) 805-0646
NPI enumeratedMay 29, 2007
Last updated in NPPESApril 11, 2011
Mailing address4480 S Cobb Dr Se Ste H, Box 323, Smyrna, GA 30080-6984

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