# AESCULAPIAN AESTHETIC ANTI AGING INSTITUTE, LLC

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

## Provider details

- **NPI number:** 1245322395
- **Authorized official:** DR. JAMES M HOLBERT JR. M.D., PH.D. (CHIEF MANAGER IN CHARGE)
- **Authorized official phone:** (901) 259-7000

## Contact information

- **Practice address:** 6286 BRIARCREST AVE, SUITE 308, MEMPHIS, TN 38120-4023
- **Practice address phone:** (901) 259-7000
- **Practice address fax:** (901) 259-7033
- **Mailing address:** 6286 BRIARCREST AVE, SUITE 308, MEMPHIS, TN 38120-4023
- **Mailing address phone:** (901) 259-7000
- **Mailing address fax:** (901) 259-7033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0000X | Hematology (Internal Medicine) Physician | MD0000006966 | TN | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | MD0000006966 | TN | Yes |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | — | NULL | — |
| 2083T0002X | Medical Toxicology (Preventive Medicine) Physician | — | — | — |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 07/16/2007