NPI 1043716392

Brookhaven Aesthestic Institute

Organisation Plastic Surgery Physician Brookhaven, GA

Practice location

Address: 1418 Dresden Dr NE STE 120, Brookhaven, GA 30319
Phone: (404) 481-5089
Fax: (404) 795-0461
Mailing address: 3535 Peachtree Rd NE STE 520-631, Atlanta, GA 30326-3287

Authorised official

Name: Puli Pravin Reddy
Title: Ceo
Phone: (404) 754-1994

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 46220 (GA)

Other Plastic Surgery providers in Georgia →

Registry record

NPI: 1043716392
Entity type: Organization
NPI issued: 4 Apr 2018
Record last updated: 1 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.