| NPI | 1538552658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH LYNLEY MCCAMPBELL Owner 2154-779-7477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA MD434202) |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2015-05-22 |