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Organization

ATLANTA SKIN AND AESTHETICS

Active
Other names
Atlanta Skin and Aesthetics
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD EDGAR NIX JR. (BUSINESS MANAGER)
(404) 252-4110
Entity
Organization

Contact information

Practice address
5671 PEACHTREE DUNWOODY RD STE 660, ATLANTA, GA 30342-5006
(404) 252-4110
(404) 252-2188
Mailing address
1100 JOHNSON FERRY RD STE 465, ATLANTA, GA 30342-1709
(404) 252-4110
(404) 252-2188

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary

Other

Enumeration date
10/05/2007
Last updated
09/25/2024
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