Organization
ATLANTA SKIN & AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EDGAR NIX JR. (BUSINESS MANAGER)
(770) 999-0123
Entity
Organization
Contact information
Practice address
1100 JOHNSON FERRY RD STE 465, ATLANTA, GA 30342-1709
(404) 252-4110
(404) 252-2188
Mailing address
1100 JOHNSON FERRY RD STE 465, ATLANTA, GA 30342-1709
(404) 252-4110
(404) 252-2188
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
09/25/2024
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