Aesculapian Aesthetic Anti Aging Institute, LLC
Preventive Medicine, Public Health & General Preventive Medicine in Memphis, TN. Organization (NPI-2).
NPI number1245322395
StatusActive
Last updated in NPPESJul 16, 2007
Details
- NPI
- 1245322395
- Entity type
- Organization (NPI-2)
- Legal business name
- Aesculapian Aesthetic Anti Aging Institute, LLC
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 16, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0901X | Preventive Medicine, Public Health & General Preventive Medicine | MD0000006966 | TN | Yes |
| 207RH0000X | Internal Medicine, Hematology | MD0000006966 | TN | |
| 2083T0002X | Preventive Medicine, Medical Toxicology | – | – |
Practice location
6286 Briarcrest AveSuite 308
Memphis, TN 38120-4023
Phone 901-259-7000 · Fax 901-259-7033
Mailing address
6286 Briarcrest AveSuite 308
Memphis, TN 38120-4023
Phone 901-259-7000 · Fax 901-259-7033
Authorized official
James M Holbert
Chief Manager In Charge
9012597000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Public Health & General Preventive Medicine Physician providers in Memphis, TN
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.