Aesthetic Surgery Center Ltd

NPI #1215225636 in Biloxi, Mississippi

Provider Information

NPI Number
1215225636
Entity Type
Organization
Organization Name
Aesthetic Surgery Center Ltd
Primary Specialty
Plastic Surgery
Enumeration Date
Jul 19, 2011
Last Updated
Oct 19, 2011

Practice Location

Address
1720A MEDICAL PARK DR
Address 2
SUITE 140
City
Biloxi
ZIP Code
39532-2129
Phone
(228) 392-4454

Authorized Official

Name
COURTNEY RICHARDSON
Title
VICE PRESIDENT
Phone
(228) 392-4454

Specialties & Taxonomy Codes

Specialty
Plastic Surgery

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