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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

NPI Number 1043716392
LBN Legal business name BROOKHAVEN AESTHESTIC INSTITUTE
Authorized official PULI REDDY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2018
Last updated 02/01/2019 - About 7 years ago
Identifiers
GA License # 46220
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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