| NPI | 1093717845 |
|---|---|
| Former Legal Business Name | MAXWELL AESTHETICS PLLC |
| Entity Type | Organization |
| Authorized Contact | KATHY BYRD Office Manager 615-292-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: TN 13577) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-07-17 |