# NUANCE FACIAL PLASTICS PLLC

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

## Provider details

- **NPI number:** 1871035188
- **Authorized official:** DR. SUMMIT BHANJI KUNDARIA MD (OWNER)
- **Authorized official phone:** (704) 593-6802

## Contact information

- **Practice address:** 309 S SHARON AMITY RD, STE 202, CHARLOTTE, NC 28211-2978
- **Practice address phone:** (704) 593-6802
- **Practice address fax:** (980) 859-2784
- **Mailing address:** 309 S SHARON AMITY RD, STE 202, CHARLOTTE, NC 28211-2978
- **Mailing address phone:** (704) 593-6802
- **Mailing address fax:** (980) 859-2784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 2016-01378 | NC | Yes |

## Other

- **Enumeration date:** 11/17/2016
- **Last updated:** 11/17/2016