CPSC CMG LLC NPI 1548571672

NPI Information

  • NPI: 1548571672
  • Provider Name: CPSC CMG LLC
  • Classification: Plastic Surgery - 208200000X
  • Entity Type: Organization
  • Doing Business As: CAROLINAS PLASTIC SURGERY CENTER
  • Address: 2391 COURT DR
    STE 120
    GASTONIA, NC
    ZIP 28054
  • Phone: (704) 874-0095

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NPI Details

CPSC CMG LLC is a plastic surgery in Gastonia, 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. CPSC CMG LLC NPI is 1548571672. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Carolinas Plastic Surgery Center.

The provider's business location address is:

2391 COURT DR
STE 120
GASTONIA, NC
ZIP 28054-196
Phone: (704) 874-0095
Fax: (704) 866-8680

The provider's authorized official is Valinda L. Rutledge .
The authorized official title is President, Ceo and has the following contact phone number (704) 834-2133.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 2/3/2011.

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 SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15915163MEDICAIDNORTH CAROLINA
22347979MEDICARE PINNORTH CAROLINA

What is NPI?

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

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