Organization
AESTHETICA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PATEL MD (CEO)
(630) 470-7775
Entity
Organization
Contact information
Practice address
334 SANCTUARY PARK DR, SUMMERVILLE, SC 29486-2386
(678) 532-7661
Mailing address
334 SANCTUARY PARK DR, SUMMERVILLE, SC 29486-2386
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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