Organization · Type 2 NPI

Center for Facial Plastic and Laser Surgery

Otolaryngology/Facial Plastic Surgery Physician · Charlotte, NC

NPI number 1417052986 Active

Practice location

11220 Elm Lane, Suite 101
Charlotte, NC 28277

Fax (704) 543-0898

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905X32239 (NC)

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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About NPI 1417052986

Center for Facial Plastic and Laser Surgery's National Provider Identifier is 1417052986, issued on Sep 13, 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.