Organization
CHARLOTTE PLASTIC SURGERY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIT PIKE (CHIEF OPERATING OFFICER)
(704) 971-1421
Entity
Organization
Contact information
Practice address
2215 RANDOLPH RD, CHARLOTTE, NC 28207-1523
(704) 971-1438
(704) 688-3899
Mailing address
2215 RANDOLPH RD, CHARLOTTE, NC 28207-1523
(704) 372-6846
(704) 342-0752
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38920
NC
Other
Enumeration date
05/09/2006
Last updated
09/06/2024
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