Organization
AVENUE AESTHETIC AND RECONSTRUCTIVE SURGERY LLC
Active
Other names
Avenue Aesthetic and Reconstructive Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA BAVANI (OFFICE MANAGER)
(706) 363-0256
Entity
Organization
Contact information
Practice address
489 N MILLEDGE AVE, ATHENS, GA 30601-3807
(706) 363-0256
(706) 622-4360
Mailing address
489 N MILLEDGE AVE, ATHENS, GA 30601-3807
(706) 363-0256
(706) 622-4360
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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