Organization
CAROLINA PLASTIC SURGERY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LOVELLE-ALLEN MD (OWNER)
(252) 384-0919
Entity
Organization
Contact information
Practice address
504 E ELIZABETH ST, STE 4, ELIZABETH CITY, NC 27909-4472
(252) 384-0919
(252) 384-0916
Mailing address
504 E ELIZABETH ST, STE 4, ELIZABETH CITY, NC 27909-4472
(252) 384-0919
(252) 384-0916
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913349
—
NC
Enumeration date
04/19/2006
Last updated
08/22/2020
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