AESTHETICA SURGERY CENTER, LLC – NPI #1679879654
Clinic/Center

AESTHETICA SURGERY CENTER, LLC is an AHC clinic located in THOMASVILLE, GA. NPPES has assigned the NPI number 1679879654 to AESTHETICA SURGERY CENTER, LLC on February 08, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AESTHETICA SURGERY CENTER, LLC below.

NPI Profile for
AESTHETICA SURGERY CENTER, LLC

NPI Number
1679879654
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AESTHETICA SURGERY CENTER, LLC
Primary location
505 GORDON AVE
THOMASVILLE, GA 31792-6645
Phone: (229) 228-9900 Fax: (229) 228-9477
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LOUIS POTYONDY
MEDICAL DOCTOR/MANAGER
Phone: (229) 228-9900
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
208200000X
- Plastic Surgery		 GA 057743

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.