Provider Demographics
NPI:1174815724
Name:ATLANTA MEDICAL AND AESTHETIC CENTER INC.
Entity Type:Organization
Organization Name:ATLANTA MEDICAL AND AESTHETIC CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SYED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-861-3419
Mailing Address - Street 1:3460 SUMMIT RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-1622
Mailing Address - Country:US
Mailing Address - Phone:770-476-8446
Mailing Address - Fax:770-476-8442
Practice Address - Street 1:3460 SUMMIT RIDGE PKWY STE 504
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-1621
Practice Address - Country:US
Practice Address - Phone:770-476-8446
Practice Address - Fax:770-476-8442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2011-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity MedicineGroup - Single Specialty