Organization
FACES PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ATHINA ALEXANDROS GIANNOPOULOS M.D. (OWNER & PHYSICIAN)
(919) 419-8319
Entity
Organization
Contact information
Practice address
1515 W NC HIGHWAY 54, SUITE 130, DURHAM, NC 27707-5574
(919) 419-8319
(919) 489-4514
Mailing address
1515 W NC HIGHWAY 54, SUITE 130, DURHAM, NC 27707-5574
(919) 419-8319
(919) 489-4514
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9900840
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891242F
—
NC
Enumeration date
02/15/2006
Last updated
08/22/2020
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