OrganizationActive
Marietta Plastic Surgery
NPI 1164746244 · Plastic and Reconstructive Surgery Physician · Woodstock, GA
Provider details
- NPI number
- 1164746244
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donna Bockhorst, Practice Admin(770) 425-0118
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
149 Towne Lake Pkwy
Woodstock, GA 30188-4859
Phone: (678) 494-2380
Fax: (678) 494-2379
Approximate (ZIP-level) locationGet directions
Mailing address
149 Towne Lake Pkwy
Woodstock, GA 30188-4859
Registry dates
- Enumerated
- 2010-03-18
- Last updated
- 2010-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.