Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Aesthetics PC

Organization Ambulatory Surgical Clinic/Center · NPI 1962441709

Advanced Aesthetics PC is an Ambulatory Surgical Clinic/Center in Fayetteville, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

874 W Lanier Ave Ste 110
Fayetteville, GA 30214-7659
Phone: (770) 461-4000
Fax: (770) 461-2790
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1962441709
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvanced Aesthetics, PC
Authorized official Diane Rodriguez — Office Manager · (770) 461-4000
Other names Advanced Aesthetics Pc
NPI enumeratedJune 6, 2006
Last updated in NPPESAugust 23, 2012
Mailing address874 W Lanier Ave, Ste 100, Fayetteville, GA 30214-7659

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