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Organization

SIGNATURE PLASTIC & RECONSTRUCTIVE SURGERY, PLLC

Active
Parent organization
-
Organization subpart
Yes

Provider details

NPI number
Legal business name
-
Authorized official
MELISSA MARKS D.O. (MANAGER)
(352) 514-1524
Entity
Organization

Contact information

Practice address
13545 STEELECROFT PKWY STE 110, CHARLOTTE, NC 28278-7562
(352) 514-1524
Mailing address
13545 STEELECROFT PKWY STE 110, CHARLOTTE, NC 28278-7562
(352) 514-1524

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
OS14397
FL
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
05/30/2017
Last updated
11/04/2022
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