PLASTIC SURGERY CENTER OF NC INC NPI 1013002138

NPI Information

PLASTIC SURGERY CENTER OF NC INC is a plastic and reconstructive surgery surgery in Winston Salem, NC. The provider is a surgeon who specializes in plastic and reconstructive surgery. PLASTIC SURGERY CENTER OF NC INC NPI is 1013002138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2901 MAPLEWOOD AVE
WINSTON SALEM, NC
ZIP 27103-009
Phone: (336) 765-8620
Fax: (336) 768-6236

The provider's authorized official is John Anderson Fagg .
The authorized official title is President and has the following contact phone number (336) 765-8620.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/1/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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