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Contact Information

BROOKHAVEN AESTHESTIC INSTITUTE
1418 DRESDEN DR NE STE 120
BROOKHAVEN, GA30319
 Phone: 404-481-5089
 Fax: 404-795-0461
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BROOKHAVEN AESTHESTIC INSTITUTE · (Female)

NPI # 1043716392
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2018
Last updated 02/01/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 46220
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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