Triad Ocular and Facial Plastic Surgery Pllc

NPI #1245737568 in Bermuda Run, North Carolina

Provider Information

NPI Number
1245737568
Entity Type
Organization
Organization Name
Triad Ocular and Facial Plastic Surgery Pllc
Primary Specialty
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery
Enumeration Date
Apr 12, 2018
Last Updated
Apr 5, 2019

Practice Location

Address
122 E KINDERTON WAY # B
ZIP Code
27006-7303
Phone
(336) 448-3060

Authorized Official

Name
MOLLY LYNN FULLER, MD, PHD
Title
OWNER
Phone
(336) 448-3060

Specialties & Taxonomy Codes

Specialty
Plastic Surgery - Plastic Surgery Within the Head and NeckPlastic Surgery Within the Head and Neck
Ophthalmology - Ophthalmic Plastic and Reconstructive SurgeryOphthalmic Plastic and Reconstructive Surgery

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Provider Name
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Provider Name
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