NPI | 1508293879 |
---|---|
Doing Business As | NORTHEAST PLASTIC & RECONSTRUCTIVE SURGERY-ALBEMARLE |
Entity Type | Organization |
Authorized Contact | FRIEDA M LOWDER Sr. Vice President 704-403-1780 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Enumeration Date | 2013-10-02 |
Last Update Date | 2014-01-21 |