| NPI | 1619901691 |
|---|---|
| Doing Business As | PATSEAVOURAS CENTER FOR PLASTIC & LASER SURGERY |
| Entity Type | Organization |
| Authorized Contact | LOUIE LEE PATSEAVOURAS Owner 336-299-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 39076) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2008-09-23 |