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

Avenue Aesthetic and Reconstructive Surgery LLC

Organization Medical Specialty Clinic/Center · NPI 1336912021

Avenue Aesthetic and Reconstructive Surgery LLC is a Medical Specialty Clinic/Center in Athens, Georgia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

489 N Milledge Ave
Athens, GA 30601-3807
Phone: (706) 363-0256
Fax: (706) 622-4360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1336912021
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Bavani — Office Manager · (706) 363-0256
Other names Avenue Aesthetic And Reconstructive Surgery
NPI enumeratedNovember 3, 2023
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023
Mailing address489 N Milledge Ave, Athens, GA 30601-3807

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