Organization
STILLWATER PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER JOSEPH CAPIZZI MD (MGR)
(704) 655-8988
Entity
Organization
Contact information
Practice address
8712 LINDHOLM DR, SUITE 308, HUNTERSVILLE, NC 28078-1870
(704) 655-8988
(704) 655-8980
Mailing address
8712 LINDHOLM DR, SUITE 308, HUNTERSVILLE, NC 28078-1870
(704) 655-8988
(704) 655-8980
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
9700210
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10329
BLUE CROSS AND BLUE SHIELD
NC
05
—
8910329
—
NC
Enumeration date
04/18/2006
Last updated
11/11/2008
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