# AOG AESTHETICS

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

## Provider details

- **NPI number:** 1437363751
- **Authorized official:** CAROLE BRIDGES (SECRETARY)
- **Authorized official phone:** (706) 278-4640

## Contact information

- **Practice address:** 1105 BURLEYSON RD, SUITE 1, DALTON, GA 30720-3017
- **Practice address phone:** (706) 226-7546
- **Mailing address:** 1105 BURLEYSON RD, SUITE 1, DALTON, GA 30720-3017
- **Mailing address phone:** (706) 226-7546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 012695 | GA | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020