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Organization
AESCULAPIAN AESTHETIC ANTI AGING INSTITUTE, LLC
Active
Organization
AESCULAPIAN AESTHETIC ANTI AGING INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M HOLBERT JR. M.D., PH.D. (CHIEF MANAGER IN CHARGE)
(901) 259-7000
Entity
Organization
Contact information
Practice address
6286 BRIARCREST AVE, SUITE 308, MEMPHIS, TN 38120-4023
(901) 259-7000
(901) 259-7033
Mailing address
6286 BRIARCREST AVE, SUITE 308, MEMPHIS, TN 38120-4023
(901) 259-7000
(901) 259-7033
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
MD0000006966
TN
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
MD0000006966
TN
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
—
NULL
2083T0002X
Medical Toxicology (Preventive Medicine) Physician
—
—
Other
Enumeration date
09/28/2006
Last updated
07/16/2007
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