CAROLINA FACIAL PLASTICS PLLC NPI 1740547595

NPI Information

NPI: 1740547595
Provider Name: CAROLINA FACIAL PLASTICS PLLC
Classification: Otolaryngology - 207YS0123X
Entity Type: Organization

Specialization: Facial Plastic Surgery

CLIA Number: 34D2163112

Address:
6849 FAIRVIEW RD STE 200
CHARLOTTE, NC
ZIP 28210
Phone: (704) 323-5090
Get Directions

CAROLINA FACIAL PLASTICS PLLC is a facial plastic surgery otolaryngology in Charlotte, NC. The provider is an otolaryngologist who specializes in facial plastic surgery. CAROLINA FACIAL PLASTICS PLLC NPI is 1740547595. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6849 FAIRVIEW RD STE 200
CHARLOTTE, NC
ZIP 28210-664
Phone: (704) 323-5090

The provider's authorized official is Jonathan Kulbersh .
The authorized official title is Owner and has the following contact phone number (843) 906-4761.

The CLIA number assigned to this NPI record is 34D2163112 - other - office based surgery with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2012 and was last updated on 4/18/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207YS0123X	Otolaryngology	Facial Plastic Surgery	2010-0220	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »