OrganizationActive
Advanced Micro LLC
NPI 1376177733 · Plastic and Reconstructive Surgery Physician · Atlanta, GA
Provider details
- NPI number
- 1376177733
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pak Ho Samuel Shih, President(443) 939-4050
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1266 W Paces Ferry Rd Nw Ste 231
Atlanta, GA 30327-2306
Phone: (443) 929-4050
Approximate (ZIP-level) locationGet directions
Mailing address
1266 W Paces Ferry Rd Nw Ste 231
Atlanta, GA 30327-2306
Registry dates
- Enumerated
- 2020-02-25
- Last updated
- 2020-07-21
- Certified
- 2020-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.