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Contact Information

BROOKHAVEN AESTHETIC INSTITUTE
1418 DRESDEN DR NE STE 120
BROOKHAVEN, GA30319-3599
 Phone: 404-481-5089
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for BROOKHAVEN AESTHETIC INSTITUTE

NPI # 1710457049
LBN Legal business name BROOKHAVEN AESTHETIC INSTITUTE
Authorized official PULI REDDY - (M.D.)
Entity Organization
Organization subpart 1 No
Enumeration date 11/29/2018
Last updated 11/29/2018 - About 8 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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