Organization · Type 2 NPI
Southland Plastic Surgery
Plastic and Reconstructive Surgery Physician · Lincolnton, NC
NPI number
1669538971
Active
Practice location
501 North Aspen St
Lincolnton, NC 28092-2105
Fax (704) 735-5713
Mailing address
PO Box 1632
Lincolnton, NC 28093-1632
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 25134 (NC) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
About NPI 1669538971
Southland Plastic Surgery's National Provider Identifier is 1669538971, issued on Dec 29, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Lincolnton, NC. The record was last updated on Nov 27, 2007.