AESTHETIC SPECIALTY CENTRE PC NPI 1770520587

NPI Information

  • NPI: 1770520587
  • Provider Name: AESTHETIC SPECIALTY CENTRE, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: AESTHETIC SPECIALTY CENTRE
  • CLIA Number: 11D1094207
  • Address: 1825 OLD ALABAMA RD
    SUITE 201
    ROSWELL, GA
    ZIP 30076
  • Phone: (770) 393-9000

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NPI Details

AESTHETIC SPECIALTY CENTRE, PC is a specialist in Roswell, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AESTHETIC SPECIALTY CENTRE, PC NPI is 1770520587. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aesthetic Specialty Centre.

The provider's business location address is:

1825 OLD ALABAMA RD
SUITE 201
ROSWELL, GA
ZIP 30076-258
Phone: (770) 393-9000
Fax: (770) 393-9006

The provider's authorized official is Marc Ean Yune .
The authorized official title is Owner and has the following contact phone number (770) 393-9000.

The CLIA number assigned to this NPI record is 11D1094207 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/1/2006 and was last updated on 9/10/2020.

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
1174400000XSpecialistYes

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: 11/21/2025

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