Organization · Type 2 NPI
Evolve Medical Spa PLLC
Multi-Specialty Clinic/Center · Smithfield, NC
NPI number
1194140129
Active
Practice location
101 E Market St Ste 3C
Smithfield, NC 27577-3981
Fax (919) 205-1378
Mailing address
PO Box 571
Smithfield, NC 27577-0571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Multi-Specialty Clinic/Center Primary | 261QM1300X | 31119 (NC) |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1194140129
Evolve Medical Spa PLLC's National Provider Identifier is 1194140129, issued on Feb 27, 2014. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Smithfield, NC. The record was last updated on Feb 27, 2014.