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Park Plastic Surgery, Pa
Specialist in Rocky Mount, North Carolina
NPI 1265533806

Park Plastic Surgery, Pa is a Specialist based in Rocky Mount, NC. Park Plastic Surgery, Pa practices in Rocky Mount, NC. The NPI Number for Park Plastic Surgery, Pa is 1265533806 and holds a License No. 36793 (North Carolina).

The current practice location address for Park Plastic Surgery, Pa is 4008 Capital Drive, Rocky Mount, NC and can be reached out via phone at 252-937-5003 and via fax at 252-937-3020.

Location: 4008 Capital Drive, Rocky Mount, NC, 27804
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265533806
Provider Name
Park Plastic Surgery, Pa
Credential
Provider Entity Type
Organization
Address
4008 Capital Drive, Rocky Mount, NC, 27804
Phone Number
252-937-5003
Fax Number
252-937-3020
Provider Enumeration Date
09/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1407964547 01 NC DR PARK NPI#
DC2876 01 NC MEDICARE RAILROAD
65228 01 NC BCBS
1365882 05 NC
1730291923 01 NC FNP NPI #
P00159404 01 NC MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
4008 Capital Drive
City
Rocky Mount
State
North Carolina
Zip
27804
Phone Number
252-937-5003
Fax Number
252-937-3020
person
Provider Business Mailing Address Details
Address
4008 Capital Drive
City
Rocky Mount
State
North Carolina
Zip
27804
Phone Number
252-937-5003
Fax Number
252-937-3020
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
36793 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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