Individual
DR. BLAIR A WORMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 BRUNSWICK AVE STE 200, CHARLOTTE, NC 28207-1897
(704) 316-5025
(704) 316-5022
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2019-00945
NC
208600000X
Surgery Physician
2019-00945
NC
Other
Enumeration date
04/12/2010
Last updated
05/21/2024
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