# HALVORSON PLASTIC SURGERY, PA

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

## Provider details

- **NPI number:** 1689118093
- **Authorized official:** DR. ERIC GLENN HALVORSON MD (PRESIDENT)
- **Authorized official phone:** (919) 259-9128

## Contact information

- **Practice address:** 5 LIVINGSTON ST, ASHEVILLE, NC 28801-4407
- **Practice address phone:** (828) 218-9344
- **Mailing address:** 5 LIVINGSTON ST, ASHEVILLE, NC 28801-4407
- **Mailing address phone:** (828) 218-9344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | BP5921526 | NC | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | NCAP00001004 | NC | Yes |

## Other

- **Enumeration date:** 12/05/2016
- **Last updated:** 05/30/2023