Plastic Head And Neck Surgery Institute
Clinic/Center, Ambulatory Surgical in Atlanta, GA. Organization (NPI-2).
NPI number1295288751
StatusActive
Last updated in NPPESJun 12, 2019
Details
- NPI
- 1295288751
- Entity type
- Organization (NPI-2)
- Legal business name
- Plastic Head And Neck Surgery Institute
- Organization subpart
- No
- Enumeration date
- Aug 1, 2016
- Last updated
- Jun 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
Practice location
5730 Glenridge Dr Ste T150Atlanta, GA 30328-5872
Phone 404-943-1111 · Fax 404-843-0478
Mailing address
5730 Glenridge Dr Ste T150Atlanta, GA 30328-5872
Phone 404-943-1111 · Fax 404-843-0478
Authorized official
Pradeep Kumar Sinha
Medical Director
4042571589
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