Organization · NPI-2
Advanced Micro LLC
Surgery, Plastic and Reconstructive Surgery · Atlanta, GA
NPI number1376177733
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1376177733
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Micro LLC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2020
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | – | – | Yes |
Practice location
1266 W Paces Ferry Rd Nw Ste 231Atlanta, GA 30327-2306
Phone 443-929-4050
Mailing address
1266 W Paces Ferry Rd Nw Ste 231Atlanta, GA 30327-2306
Phone 443-939-4050
Authorized official
Pak Ho Samuel Shih
President
4439394050
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