| NPI | 1548219967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GALBRAITH POTTLE Md Owner 910-452-2175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 28311) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |