Organization
AUTHENTIC MEDICAL AESTHETICS & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN BROYLES FNP-C (OWNER)
(865) 310-9826
Entity
Organization
Contact information
Practice address
204 SIMMONS ST, MARYVILLE, TN 37801-4750
(865) 980-8029
(865) 980-8074
Mailing address
204 SIMMONS ST, MARYVILLE, TN 37801-4750
(865) 980-8029
(865) 980-8074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/29/2026
Last updated
06/29/2026
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