| NPI | 1124046990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KOLB Owner/Plastic Surgeon 770-457-4677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: GA 31272) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: GA 31272) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001047) | |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA POD001047) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-12-28 |