NPI 1710457049

Brookhaven Aesthetic Institute

Organisation Plastic Surgery Physician Brookhaven, GA

Practice location

Address: 1418 Dresden Dr NE STE 120, Brookhaven, GA 30319-3599
Phone: (404) 481-5089

Authorised official

Name: Puli Pravin Reddy
Title: M.D.
Phone: (404) 481-5089

Registered specialties

Plastic Surgery Physician Primary

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

Other Plastic Surgery providers in Georgia →

Registry record

NPI: 1710457049
Entity type: Organization
NPI issued: 29 Nov 2018
Record last updated: 29 Nov 2018

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.