OrganizationActive
Aesthetic Cosmetic Surgery Center
NPI 1184679656 · Specialist · Memphis, TN
Provider details
- NPI number
- 1184679656
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Authorized official
- Robin Stevenson, President
- License
- MD005408 (TN)
Practice location
6401 Poplar
Suite 505
Memphis, TN 38119
Phone: (901) 682-0423
Fax: (901) 682-0435
Mailing address
6401 Poplar
Memphis, TN 38119
Registry dates
- Enumerated
- 2006-05-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.