CHARLOTTE FACIAL PLASTIC SURGERY NPI 1417404344

NPI Information

CHARLOTTE FACIAL PLASTIC SURGERY is an otolaryngology/facial plastic surgery otolaryngology in Charlotte, NC. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. CHARLOTTE FACIAL PLASTIC SURGERY NPI is 1417404344. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1819 LYNDHURST AVE
CHARLOTTE, NC
ZIP 28203-103
Phone: (910) 431-1644

The provider's authorized official is Josh Surowitz .
The authorized official title is M.d./owner and has the following contact phone number (910) 431-1644.

The enumeration date for this NPI number is 9/8/2016 and was last updated on 9/8/2016.

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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