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Contact Information

AUGUSTA AESTHETIC SURGERY
2258 WRIGHTSBORO ROAD SUITE 180
AUGUSTA, GA30904
 Phone: 706-737-8827
 Fax: 706-737-8916
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for AUGUSTA AESTHETIC SURGERY

NPI # 1003841511
LBN Legal business name AUGUSTA AESTHETIC SURGERY
Authorized official GARY WILLIAMSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
GA License # 121224
Other 6749808 CIGNA
GA Other 51003458 BCBS
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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