Individual
AISHA JENELLE MCKNIGHT BARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1300 HAWTHORNE AVE SE, SMYRNA, GA 30080-2136
(678) 540-1144
(678) 540-1166
Mailing address
PO BOX 128, BELLAIRE, TX 77402-0128
(281) 833-3330
(281) 833-3323
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
68934
GA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
68934
GA
Other
Enumeration date
01/14/2010
Last updated
12/05/2024
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