SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY PLLC NPI 1508394990

NPI Information

  • NPI: 1508394990
  • Provider Name: SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Address: 13545 STEELECROFT PKWY STE 110
    CHARLOTTE, NC
    ZIP 28278
  • Phone: (352) 514-1524

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NPI Details

SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC is a plastic surgery in Charlotte, NC. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC NPI is 1508394990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13545 STEELECROFT PKWY STE 110
CHARLOTTE, NC
ZIP 28278-562
Phone: (352) 514-1524

The provider's authorized official is Melissa Marks .
The authorized official title is Manager and has the following contact phone number (352) 514-1524.

The enumeration date for this NPI number is 5/30/2017 and was last updated on 11/4/2022.

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
1208200000XPlastic SurgeryOS14397FLORIDANo
2208200000XPlastic SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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