Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center | |
Plastic Surgery |
208200000X | 02 | Physician/General Surgery |
| NPI Number | 1124859376 |
| LBN Legal business name | AESTHETIC SURGERY CENTER OF ATLANTA |
| Authorized official | CANG HUYNH - (DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 08/09/2024 |
| Last updated | 09/09/2024 - More than a year ago |
| Identifiers | n/a |
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