Organization · Type 2 NPI

Novant Health Medical Group NC Coastal Region Specialty, LLC

Plastic Surgery Physician · Bolivia, NC

NPI number 1417854332 Active

Practice location

584 Hospital Dr NE Unit D
Bolivia, NC 28422-0020

Mailing address

PO Box 604532
Charlotte, NC 28260-4532

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician Primary 208200000XNone listed

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

4 other providers at this address

About NPI 1417854332

Novant Health Medical Group NC Coastal Region Specialty, LLC's National Provider Identifier is 1417854332, issued on Oct 23, 2026. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Bolivia, NC. The record was last updated on Oct 23, 2026.