Organization
BROOKHAVEN AESTHETIC INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PULI PRAVIN REDDY (M.D.)
(404) 481-5089
Entity
Organization
Contact information
Practice address
1418 DRESDEN DR NE STE 120, BROOKHAVEN, GA 30319-3599
(404) 481-5089
Mailing address
1418 DRESDEN DR NE STE 120, BROOKHAVEN, GA 30319-3599
(404) 481-5089
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
46220
GA
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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