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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