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CENTER FOR FACIAL PLASTIC AND LASER SURGERY NPI 1417052986


NPI Information

NPI: 1417052986
Provider Name: CENTER FOR FACIAL PLASTIC AND LASER SURGERY

Other Name: M SEAN FREEMAN MD

Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

Address:
11220 ELM LANE
SUITE 101
CHARLOTTE, NC
ZIP 28277
Phone: (704) 543-1110
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CENTER FOR FACIAL PLASTIC AND LASER 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. CENTER FOR FACIAL PLASTIC AND LASER SURGERY NPI is 1417052986. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is M Sean Freeman Md.

The provider's business location address is:

11220 ELM LANE
SUITE 101
CHARLOTTE, NC
ZIP 28277
Phone: (704) 543-1110
Fax: (704) 543-0898

The provider's authorized official is Michael Sean Freeman .
The authorized official title is President and has the following contact phone number (704) 543-1110.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 8/22/2020.


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
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic Surgery32239NORTH 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
133874OTHERNORTH CAROLINABCBS BLUE CROSS BLUE SHIE

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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