Organization · NPI-2

Aesthetic Facial & Ocular Plastic Surgery Center, PA

Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery · Fayetteville, NC

NPI number1285856690
StatusActive
Last updated in NPPESJan 16, 2019

Details

NPI
1285856690
Entity type
Organization (NPI-2)
Legal business name
Aesthetic Facial & Ocular Plastic Surgery Center, PA
Organization subpart
No
Enumeration date
May 3, 2007
Last updated
Jan 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery––Yes

Practice location

2047 Valleygate Dr
Fayetteville, NC 28304-3688

Phone 919-590-4432

Mailing address

5111 Schley Rd
Hillsborough, NC 27278-6845

Phone 919-590-4432 · Fax 919-644-1749

Authorized official

Frank Howard Christensen
Medical Director
9199331294

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