Organization
AOG AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE BRIDGES (SECRETARY)
(706) 278-4640
Entity
Organization
Contact information
Practice address
1105 BURLEYSON RD, SUITE 1, DALTON, GA 30720-3017
(706) 226-7546
Mailing address
1105 BURLEYSON RD, SUITE 1, DALTON, GA 30720-3017
(706) 226-7546
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
012695
GA
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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