ADVANCED AESTHETICS PC – NPI #1962441709
Clinic/Center

ADVANCED AESTHETICS PC is an AHC clinic located in FAYETTEVILLE, GA. NPPES has assigned the NPI number 1962441709 to ADVANCED AESTHETICS PC on June 06, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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

The NPI profile was previously updated about 14 years ago on Aug 23, 2012. 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 ADVANCED AESTHETICS PC below.

NPI Profile for
ADVANCED AESTHETICS PC

NPI Number
1962441709
Enumeration Date

(more than 20 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
ADVANCED AESTHETICS PC
Doing Business As (dba): ADVANCED AESTHETICS PC
Primary location
874 W LANIER AVE
STE 110
FAYETTEVILLE, GA 30214-7659
Phone: (770) 461-4000 Fax: (770) 461-2790
Mailing address
Same as primary location
Organization Subpart
Yes - ADVANCED AESTHETICS PC is subpart of another organization.
Authorized Official
DIANE RODRIGUEZ
OFFICE MANAGER
Phone: (770) 461-4000
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)

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.