Organization
EVOLVE MEDICAL SPA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NITZAN DANIEL CATZ MD (PRESIDENT/OWNER)
(919) 934-0948
Entity
Organization
Contact information
Practice address
101 E MARKET ST STE 3C, SMITHFIELD, NC 27577-3981
(919) 205-1376
(919) 205-1378
Mailing address
PO BOX 571, SMITHFIELD, NC 27577-0571
(919) 934-0948
(919) 934-0193
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
31119
NC
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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