OrganizationActive
Micromed LLC
NPI 1104450402 · Plastic and Reconstructive Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1104450402
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Theresa Wang, President
Practice location
1266 W Paces Ferry Rd Nw Ste 231
Atlanta, GA 30327-2306
Phone: (917) 991-0319
Mailing address
1266 W Paces Ferry Rd Nw Ste 231
Atlanta, GA 30327-2306
Registry dates
- Enumerated
- 2020-02-25
- Last updated
- 2020-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.