Organization
TRIAD SURGICAL ARTS PLLC
Active
Organization
TRIAD SURGICAL ARTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOLLY FULLER MD, PHD (PHYSICIAN/OWNER)
(336) 448-3060
Entity
Organization
Contact information
Practice address
6318 JESSIE LN, CLEMMONS, NC 27012-9887
(336) 448-3060
(336) 565-2400
Mailing address
5335 ROBINHOOD VILLAGE DR # 178, WINSTON SALEM, NC 27106-9820
(336) 448-3060
(336) 565-2400
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
208200000X
Plastic Surgery Physician
—
—
Other
Enumeration date
06/23/2026
Last updated
07/02/2026
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