Organization
CAROLINA AESTHETIC AND RECONSTRUCTIVE SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA B HONNEBIER MD (DIRECTOR)
(704) 375-6766
Entity
Organization
Contact information
Practice address
1918 RANDOLPH RD, SUITE 550, CHARLOTTE, NC 28207-1100
(704) 375-6766
(704) 332-6552
Mailing address
1918 RANDOLPH RD, SUITE 550, CHARLOTTE, NC 28207-1100
(704) 375-6766
(704) 332-6552
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
200800118
NC
Other
Enumeration date
02/17/2010
Last updated
02/17/2010
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