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Organization
AVENUE AESTHETIC AND RECONSTRUCTIVE SURGERY LLC
Active
Organization
AVENUE AESTHETIC AND RECONSTRUCTIVE SURGERY LLC
Active
Other names
Avenue Aesthetic and Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BAVANI (OFFICE MANAGER)
(706) 363-0256
Entity
Organization
Contact information
Practice address
489 N MILLEDGE AVE, ATHENS, GA 30601-3807
(706) 363-0256
(706) 622-4360
Mailing address
489 N MILLEDGE AVE, ATHENS, GA 30601-3807
(706) 363-0256
(706) 622-4360
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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