Organization directory

FORMA MEDICAL AESTHETICS fax numbers

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1124 CANTON ST, ROSWELL, GA, 30075-3642
Total destinations 1 Across general numbers and departments
NPI registry record

Provider & location details

Registered organization
FORMA MEDICAL AESTHETICS
NPI number
1114511821
Practice address
1124 CANTON ST, ROSWELL, GA, 30075-3642
Telephone
(770) 568-0092
Provider specialty
See registry classification 207R00000X — code meaning
Imported into directory
Oct 31, 2026

The provider supplied these details to the public NPPES registry. The import date records when TidyFax obtained the record; it is not a confirmation that the fax line works. A specialty identifies the provider's classification, not the department accepting documents.

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Organization contacts

Fax contacts and departments

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Provider listed

Practice location fax

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(470) 781-1339
NPI 1114511821

1124 CANTON ST, ROSWELL, GA, 30075-3642

Listed by the healthcare provider in a public registry. Confirm the current fax number and destination before sending.

Practice location fax reported by the provider to NPPES

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Open source