Organization · Type 2 NPI

Advanced Aesthetic Surgery

Plastic and Reconstructive Surgery Physician · Marietta, GA

NPI number 1497871990 Active

Practice location

711 Canton Rd NE, Suite 400
Marietta, GA 30060-8948

Fax (770) 771-5150

Mailing address

700 Canton Rd, Suite 400
Marietta, GA 30060-7210

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122X027220 (GA)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1497871990

Advanced Aesthetic Surgery's National Provider Identifier is 1497871990, issued on Mar 22, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Marietta, GA. The record was last updated on Apr 23, 2008.