# CAROLINA AESTHETIC AND RECONSTRUCTIVE SURGERY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306168497
- **Authorized official:** DR. MARIA B HONNEBIER MD (DIRECTOR)
- **Authorized official phone:** (704) 375-6766

## Contact information

- **Practice address:** 1918 RANDOLPH RD, SUITE 550, CHARLOTTE, NC 28207-1100
- **Practice address phone:** (704) 375-6766
- **Practice address fax:** (704) 332-6552
- **Mailing address:** 1918 RANDOLPH RD, SUITE 550, CHARLOTTE, NC 28207-1100
- **Mailing address phone:** (704) 375-6766
- **Mailing address fax:** (704) 332-6552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 200800118 | NC | Yes |

## Other

- **Enumeration date:** 02/17/2010
- **Last updated:** 02/17/2010