# AESTHETIC MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205977857
- **Authorized official:** MELISSA L HOLLIE MD (PRESIDENT)
- **Authorized official phone:** (314) 652-8923

## Contact information

- **Practice address:** 3920 LINDELL BLVD, STE 105, SAINT LOUIS, MO 63108-3254
- **Practice address phone:** (314) 652-8923
- **Practice address fax:** (314) 652-8925
- **Mailing address:** 3920 LINDELL BLVD, STE 105, SAINT LOUIS, MO 63108-3254
- **Mailing address phone:** (314) 652-8923
- **Mailing address fax:** (314) 652-8925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 04/02/2008