Plastic Surgery Center of Nc INC
NPI #1013002138 in Winston Salem, North Carolina
Provider Information
- NPI Number
- 1013002138
- Entity Type
- Organization
- Organization Name
- Plastic Surgery Center of Nc INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PLASTIC SURGERY CENTER OF NC INC
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Oct 4, 2006
- Last Updated
- Aug 1, 2007
Practice Location
- Address
- 2901 MAPLEWOOD AVE
- City
- Winston Salem
- State
- North Carolina
- ZIP Code
- 27103-4009
- Phone
- (336) 765-8620
Authorized Official
- Name
- DR. JOHN ANDERSON FAGG, MD
- Title
- PRESIDENT
- Phone
- (336) 765-8620
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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