Individual
NICHOLAS WAYNE CLAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, STE 200, CHARLOTTE, NC 28204-2963
(704) 446-6810
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2013-01500
NC
208600000X
Surgery Physician
2013-01500
NC
Other
Enumeration date
06/11/2007
Last updated
07/15/2024
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