OrganizationActive
Center for Restorative Reproductive Surgery, LLC
NPI 1669968251 · Gynecology Physician · Norcross, GA
Provider details
- NPI number
- 1669968251
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nicholas Kongoasa, Medical Director(770) 450-8677
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3965 Holcomb Bridge Rd Ste 100
Norcross, GA 30092-2203
Phone: (770) 450-8677
Fax: (678) 792-8927
Approximate (ZIP-level) locationGet directions
Mailing address
3965 Holcomb Bridge Rd Ste 100
Norcross, GA 30092-2203
Registry dates
- Enumerated
- 2018-07-06
- Last updated
- 2023-08-16
- Certified
- 2023-08-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.