Organization
BREAST BODY BEAUTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AISHA MCKNIGHT BARON MD (PRESIDENT)
(678) 540-1144
Entity
Organization
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
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
08/16/2016
Last updated
06/16/2025
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