| NPI | 1669629903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD RAY Director / President 919-806-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 2008-01037) |
| Enumeration Date | 2008-08-19 |
| Last Update Date | 2015-04-07 |