Organization
ADVANCED AESTHETICS, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E SNOW (PRECERTIFICATION COORDINATOR)
(678) 883-1405
Entity
Organization
Contact information
Practice address
874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100, FAYETTEVILLE, GA 30214-1511
(770) 461-4000
(770) 461-2790
Mailing address
874 W LANIER AVE, ONE PRESTIGE PARK SUITE 100, FAYETTEVILLE, GA 30214-1511
(770) 461-4000
(770) 461-2790
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
08/18/2005
Last updated
08/28/2007
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