Organization
AESTHETICS INTERNATIONAL USA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSAIN ALI KHAN M.D. (OWNER/PRESIDENT)
(404) 805-2821
Entity
Organization
Contact information
Practice address
59 TIPTON DR, DAHLONEGA, GA 30533-1603
(706) 867-0637
Mailing address
3910 OVERLAKE DR, CUMMING, GA 30041-2845
(561) 283-5131
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
051423
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251265615C
—
GA
Enumeration date
03/29/2012
Last updated
03/29/2012
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