Organization
LA BELLE VIE PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CHURCH MD (PRESIDENT)
(910) 338-5900
Entity
Organization
Contact information
Practice address
1122 MEDICAL CENTER DR, WILMINGTON, NC 28401-7305
(910) 338-5900
(910) 338-3315
Mailing address
1122 MEDICAL CENTER DR, WILMINGTON, NC 28401-7305
(910) 338-5900
(910) 338-3315
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
11/21/2018
Last updated
11/21/2018
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