| NPI | 1407058555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI NOWICKY Vice President 704-947-8877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 200201133) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-07-24 |