Organization · Type 2 NPI
Genesis Ent & Plastic Surgery, PLLC
Otolaryngology/Facial Plastic Surgery Physician · Charlotte, NC
NPI number
1366484958
Active
Practice location
14835 John J Delaney Dr, Suite 210
Charlotte, NC 28277-2738
Fax (704) 544-2765
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | 9700531 (NC) |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Other otolaryngology/facial plastic surgery physician providers in Charlotte
About NPI 1366484958
Genesis Ent & Plastic Surgery, PLLC's National Provider Identifier is 1366484958, issued on Jun 11, 2006. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Charlotte, NC. The record was last updated on Aug 22, 2020.