Organization · NPI-2
Carolina Facial Plastics PLLC
Otolaryngology, Facial Plastic Surgery · Charlotte, NC
NPI number1740547595
StatusActive
Last updated in NPPESApr 18, 2012
Details
- NPI
- 1740547595
- Entity type
- Organization (NPI-2)
- Legal business name
- Carolina Facial Plastics PLLC
- Organization subpart
- No
- Enumeration date
- Apr 18, 2012
- Last updated
- Apr 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YS0123X | Otolaryngology, Facial Plastic Surgery | 2010-0220 | NC | Yes |
Practice location
6849 Fairview Rd Ste 200Charlotte, NC 28210-3664
Phone 704-323-5090
Mailing address
6849 Fairview Rd Ste 200Charlotte, NC 28210-3664
Phone 704-323-5090
Authorized official
Jonathan Kulbersh
Owner
8439064761
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