Organization
CAROLINA COASTAL PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY POKORNY M.D. (OWNER)
(252) 335-2293
Entity
Organization
Contact information
Practice address
1141 N ROAD ST, SUITE K, ELIZABETH CITY, NC 27909-3354
(252) 335-2293
(252) 331-2387
Mailing address
1141 N ROAD ST, SUITE K, ELIZABETH CITY, NC 27909-3354
(252) 335-2293
(252) 331-2387
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
10/08/2009
Last updated
10/15/2009
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