OrganizationActive
Aesthetic Laser & Surgery Facility
NPI 1841361052 · Ambulatory Surgical Clinic/Center · Thomasville, GA
Provider details
- NPI number
- 1841361052
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- G. Courtney Houston, Medical Director
- License
- 136-113 (GA)
Practice location
416 Gordon Ave
Thomasville, GA 31792-6644
Phone: (229) 228-7200
Fax: (229) 228-5193
Mailing address
416 Gordon Ave
Thomasville, GA 31792-6644
Registry dates
- Enumerated
- 2006-11-10
- 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.