NPI | 1003075599 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN A SICILIANO Medical Director 828-322-8380 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 220800887) |
Enumeration Date | 2008-06-09 |
Last Update Date | 2008-11-12 |