OrganizationActive
Jc Plastic Surgery of Atlanta, LLC
NPI 1114387040 · Plastic and Reconstructive Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1114387040
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yeon-Jeen Chang, President(404) 312-3878
- License
- 63841 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5505 Peachtree Dunwoody Rd
Suite 220
Atlanta, GA 30342-1705
Phone: (404) 312-3878
Fax: (404) 829-1312
Approximate (ZIP-level) locationGet directions
Mailing address
5505 Peachtree Dunwoody Rd
Atlanta, GA 30342-1705
Registry dates
- Enumerated
- 2016-03-04
- Last updated
- 2016-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.