OrganizationActive
Aesthetica Surgery Center, LLC
NPI 1679879654 · Ambulatory Surgical Clinic/Center · Thomasville, GA
Provider details
- NPI number
- 1679879654
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Louis Potyondy, Medical Doctor/Manager(229) 228-9900
- License
- 057743 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Practice location
505 Gordon Ave
Thomasville, GA 31792-6645
Phone: (229) 228-9900
Fax: (229) 228-9477
Approximate (ZIP-level) locationGet directions
Mailing address
505 Gordon Ave
Thomasville, GA 31792-6645
Registry dates
- Enumerated
- 2011-02-08
- Last updated
- 2011-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.