Organization
BROOKHAVEN AESTHESTIC INSTITUTE
Active
Other names
REDDY RECONSTRUCTIVE INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PULI PRAVIN REDDY MD (CEO)
(404) 754-1994
Entity
Organization
Contact information
Practice address
1418 DRESDEN DR NE STE 120, BROOKHAVEN, GA 30319
(404) 481-5089
(404) 795-0461
Mailing address
3535 PEACHTREE RD NE STE 520-631, ATLANTA, GA 30326-3287
(404) 481-5089
(404) 795-0461
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
46220
GA
Other
Enumeration date
04/04/2018
Last updated
02/01/2019
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