Organization · Type 2 NPI

Carolina Aesthetic and Reconstructive Surgery, PLLC

Medical Specialty Clinic/Center · Charlotte, NC

NPI number 1306168497 Active

Practice location

1918 Randolph Rd, Suite 550
Charlotte, NC 28207-1100

Call (704) 375-6766 Map

Fax (704) 332-6552

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X200800118 (NC)

Medical Specialty Clinic/Center: 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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About NPI 1306168497

Carolina Aesthetic and Reconstructive Surgery, PLLC's National Provider Identifier is 1306168497, issued on Feb 17, 2010. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Charlotte, NC. The record was last updated on Feb 17, 2010.