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ADVANCED AESTHETIC SURGERY NPI 1497871990


NPI Information

NPI: 1497871990
Provider Name: ADVANCED AESTHETIC SURGERY
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
711 CANTON RD NE
SUITE 400
MARIETTA, GA
ZIP 30060
Phone: (770) 771-5151
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ADVANCED AESTHETIC SURGERY is a plastic and reconstructive surgery surgery in Marietta, GA. The provider is a surgeon who specializes in plastic and reconstructive surgery. ADVANCED AESTHETIC SURGERY NPI is 1497871990. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

711 CANTON RD NE
SUITE 400
MARIETTA, GA
ZIP 30060-948
Phone: (770) 771-5151
Fax: (770) 771-5150

The provider's authorized official is Thomas B Lintner .
The authorized official title is Owner and has the following contact phone number (770) 771-5151.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 4/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0122XSurgeryPlastic and Reconstructive Surgery027220GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F08365MEDICARE UPINGEORGIA
224BCBWNMEDICARE ID-TYPE UNSPECIFIEDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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