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CAPE FEAR AESTHETICS PLLC NPI 1811192552


NPI Information

NPI: 1811192552
Provider Name: CAPE FEAR AESTHETICS PLLC
Classification: Plastic Surgery - 2082S0099X
Entity Type: Organization

Specialization: Plastic Surgery Within the Head and Neck

Address:
2053 VALLEYGATE DR
STE. 102
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 323-3757
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CAPE FEAR AESTHETICS PLLC is a plastic surgery within the head and neck plastic surgery in Fayetteville, NC. The provider is a plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them. CAPE FEAR AESTHETICS PLLC NPI is 1811192552. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2053 VALLEYGATE DR
STE. 102
FAYETTEVILLE, NC
ZIP 28304-688
Phone: (910) 323-3757
Fax: (910) 323-9247

The provider's authorized official is Edward Ernest Dickerson .
The authorized official title is Owner and has the following contact phone number (910) 323-3757.

The enumeration date for this NPI number is 6/20/2007 and was last updated on 7/14/2021.


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
12082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckNORTH CAROLINAYes
2261Q00000XClinic/CenterNo

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: 11/14/2023

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