FORSYTH PLASTIC SURGICAL ASSOC PA NPI 1811090475

NPI Details

FORSYTH PLASTIC SURGICAL ASSOC PA is a plastic surgery in Winston Salem, 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. FORSYTH PLASTIC SURGICAL ASSOC PA NPI is 1811090475. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2901 MAPLEWOOD AVE
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 765-8620
Fax: (336) 768-6236

The provider's authorized official is John Anduson Fagg .
The authorized official title is President and has the following contact phone number (336) 765-8620.

The CLIA number assigned to this NPI record is 34D2189972 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/7/2006 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: