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Carolina Aesthetic And Reconstructive Surgery, Pllc
Medical Specialty Clinic/Center in Charlotte, North Carolina
NPI 1306168497

Carolina Aesthetic And Reconstructive Surgery, Pllc is a Medical Specialty Clinic/Center based in Charlotte, NC and is specialized in Medical Specialty. Carolina Aesthetic And Reconstructive Surgery, Pllc practices in Charlotte, NC. The NPI Number for Carolina Aesthetic And Reconstructive Surgery, Pllc is 1306168497 and holds a License No. 200800118 (North Carolina).

The current practice location address for Carolina Aesthetic And Reconstructive Surgery, Pllc is 1918 Randolph Rd, Charlotte, NC and can be reached out via phone at 704-375-6766 and via fax at 704-332-6552.

Location: 1918 Randolph Rd, Charlotte, NC, 28207-1100
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306168497
Provider Name
Carolina Aesthetic And Reconstructive Surgery, Pllc
Credential
Provider Entity Type
Organization
Address
1918 Randolph Rd, Charlotte, NC, 28207-1100
Phone Number
704-375-6766
Fax Number
704-332-6552
Provider Enumeration Date
02/17/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1918 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28207-1100
Phone Number
704-375-6766
Fax Number
704-332-6552
person
Provider Business Mailing Address Details
Address
1918 Randolph Rd
City
Charlotte
State
North Carolina
Zip
28207-1100
Phone Number
704-375-6766
Fax Number
704-332-6552
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
200800118 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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