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Summit Cosmetic Surgery Center
Specialist in Wilmington, North Carolina
NPI 1346607066

Summit Cosmetic Surgery Center is a Specialist based in Wilmington, NC. Summit Cosmetic Surgery Center practices in Wilmington, NC. The NPI Number for Summit Cosmetic Surgery Center is 1346607066 and holds a License No. 9600699 (North Carolina).

The current practice location address for Summit Cosmetic Surgery Center is 1717 Shipyard Blvd, Wilmington, NC and can be reached out via phone at 910-794-5355 and via fax at 910-794-5358.

Location: 1717 Shipyard Blvd, Wilmington, NC, 28403-8023
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346607066
Provider Name
Summit Cosmetic Surgery Center
Credential
Provider Entity Type
Organization
Address
1717 Shipyard Blvd, Wilmington, NC, 28403-8023
Phone Number
910-794-5355
Fax Number
910-794-5358
Provider Enumeration Date
01/26/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CH0945 01 NC RAILROAD MEDICARE PTAN
2344578 01 NC PTAN
89016GK 05 NC
institution
Provider Business Practice Location Address Details
Address
1717 Shipyard Blvd
City
Wilmington
State
North Carolina
Zip
28403-8023
Phone Number
910-794-5355
Fax Number
910-794-5358
person
Provider Business Mailing Address Details
Address
1717 Shipyard Blvd
City
Wilmington
State
North Carolina
Zip
28403-8023
Phone Number
910-794-5355
Fax Number
910-794-5358
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
9600699 (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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