| NPI | 1831587435 |
|---|---|
| Former Legal Business Name | PLASTIX MD PC |
| Entity Type | Organization |
| Authorized Contact | LONNIE BUNN CFO 919-673-4502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NC 200400591) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-06-18 |