Organization
CENTER FOR COSMETIC & PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER LOREN TUCKER MD (OWNER)
(704) 375-2222
Entity
Organization
Contact information
Practice address
300 BILLINGSLEY RD, STE 105, CHARLOTTE, NC 28211
(704) 375-2222
(704) 375-6008
Mailing address
300 BILLINGSLEY RD, STE 105, CHARLOTTE, NC 28211
(704) 375-2222
(704) 375-6008
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
04/26/2006
Last updated
08/22/2020
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