All About Aesthetics PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

130069 Issued in NC

Legal business name

ALL ABOUT AESTHETICS PC

Practice address

8311 Bandford Way
Suite 103
Raleigh, NC 27615-2756

Phone

(919) 845-0333

Fax

(919) 845-0773

NPI assigned

Dec 27, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Deborah Kessler Hudak, M.D.

Title

President

Phone

(919) 845-0333

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1194880104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99717",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276249717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8311 BANDFORD WAY",
            "address_2": "SUITE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276152756",
            "telephone_number": "919-845-0333",
            "fax_number": "919-845-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ABOUT AESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "HUDAK",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "KESSLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-845-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "130069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911904",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.