Organization
RALEIGH EYE AND FACE PLASTIC SURGERY PLLC
Active
Organization
RALEIGH EYE AND FACE PLASTIC SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRADEEP METTU MD (OWNER/MEMBER)
(919) 626-8783
Entity
Organization
Contact information
Practice address
4201 LAKE BOONE TRL STE 103, RALEIGH, NC 27607-7511
(919) 626-8783
(844) 456-0925
Mailing address
4201 LAKE BOONE TRL STE 103, RALEIGH, NC 27607-7511
(919) 626-8783
(844) 456-0925
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Enumeration date
10/01/2019
Last updated
10/05/2019
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