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HOLDERNESS PLASTIC SURGERY NPI 1710436423


NPI Information

NPI: 1710436423
Provider Name: HOLDERNESS PLASTIC SURGERY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
500 E CORNWALLIS DR
SUITE F
GREENSBORO, NC
ZIP 27405
Phone: (336) 275-0919
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HOLDERNESS PLASTIC SURGERY is a specialist in Greensboro, NC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HOLDERNESS PLASTIC SURGERY NPI is 1710436423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

500 E CORNWALLIS DR
SUITE F
GREENSBORO, NC
ZIP 27405-681
Phone: (336) 275-0919
Fax: (336) 275-4849

The provider's authorized official is Howard Holderness .
The authorized official title is Member, Owner and has the following contact phone number (336) 275-0919.

The enumeration date for this NPI number is 9/23/2016 and was last updated on 9/23/2016.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist3310NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1C81245MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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