Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1235466863 |
| LBN Legal business name | AESTHETIC ASSOCIATES INC P S |
| Authorized official | KELLY CLAY - (PRACTICE ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/03/2009 |
| Last updated | 09/05/2024 - More than a year ago |
| Identifiers | n/a |
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