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COMPLEXIONS MEDICAL AESTHETICS LLC NPI 1346650421


NPI Information

NPI: 1346650421
Provider Name: COMPLEXIONS MEDICAL AESTHETICS, LLC

Doing Business As: COMPLEXIONS ATLANTA

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
4705 ASHFORD DUNWOODY RD STE A
SUITE 14
DUNWOODY, GA
ZIP 30338
Phone: (770) 727-5461
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COMPLEXIONS MEDICAL AESTHETICS, LLC is a clinic center in Dunwoody, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COMPLEXIONS MEDICAL AESTHETICS, LLC NPI is 1346650421. The provider is registered as an organization entity type.
The provider Is Doing Business As Complexions Atlanta.

The provider's business location address is:

4705 ASHFORD DUNWOODY RD STE A
SUITE 14
DUNWOODY, GA
ZIP 30338-566
Phone: (770) 727-5461

The provider's authorized official is Stephanie Knox Norman .
The authorized official title is Nurse Practitioner and has the following contact phone number (770) 727-5461.

The enumeration date for this NPI number is 4/29/2014 and was last updated on 4/29/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterGEORGIAYes

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: 5/5/2024

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