NPI 1982216669
A Prestige Aesthetic and Wellness
Practice location
- Address
- 374 Spencer Lakes Dr, Meridianville, AL 35759-1532
- Phone
- (256) 427-4739
- Mailing address
- 504 Autumn Springs CT STE 19, Franklin, TN 37067-2849
Authorised official
- Name
- Omotayo Andrea Pryor
- Title
- Crnp
- Phone
- (256) 348-2107
Registered specialties (2)
Health Service Clinic/Center
Primary
Multi-Specialty Clinic/Center
Registry record
- NPI
- 1982216669
- Entity type
- Organization
- NPI issued
- 23 Aug 2020
- Record last updated
- 30 Dec 2023
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.