Charlotte Reconstructive Surgery, Pllc
NPI #1346452927 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1346452927
- Entity Type
- Organization
- Organization Name
- Charlotte Reconstructive Surgery, Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- May 4, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2215 RANDOLPH RD
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28207-1523
- Phone
- (704) 971-1438
Authorized Official
- Name
- MILLY MOORE
- Title
- ACCOUNTING MANAGER
- Phone
- (704) 971-1438
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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