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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