Organization
AASC, LLC
Active
Other names
Atlanta Aesthetic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE L CLOTFELTER (ADMINISTRATOR)
(404) 233-3833
Entity
Organization
Contact information
Practice address
4200 NORTHSIDE PKWY NW BLDG 8, ATLANTA, GA 30327-3054
(404) 233-3833
(404) 233-8447
Mailing address
4200 NORTHSIDE PKWY NW BLDG 8, ATLANTA, GA 30327-3054
(404) 233-3833
(404) 233-8447
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
027-89
GA
Other
Enumeration date
06/02/2008
Last updated
01/06/2012
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