ADVANCED AESTHETICS PC; NPI #1962441709

Contact Information

ADVANCED AESTHETICS PC

874 W LANIER AVE
STE 110
FAYETTEVILLE, GA 30214-7659

Phone: 770-461-4000
Fax: 770-461-2790
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulatory Surgical	261QA1903X	49	Ambulatory Surgical Center

Indicates primary specialty

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NPI Profile & details for ADVANCED AESTHETICS PC

NPI #	`1962441709`
LBN Legal business name	ADVANCED AESTHETICS PC
Authorized official	DIANE RODRIGUEZ - (OFFICE MANAGER)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	06/06/2006
Last updated	08/23/2012 - About 14 years ago
Identifiers	n/a

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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ADVANCED AESTHETICS PC

Contact Information

Specialty

Ambulatory Surgical

NPI Profile & details for ADVANCED AESTHETICS PC

Reviews for ADVANCED AESTHETICS PC