Organization
ATLANTA SKIN AND AESTHETICS
Active
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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