Organization
LAKE NORMAN PLASTIC SURGERY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY WILSON MD (PHYSICIAN OWNER)
(704) 885-0550
Entity
Organization
Contact information
Practice address
9735 KINCEY AVE STE 205, HUNTERSVILLE, NC 28078-9120
(704) 885-0550
(704) 885-0550
Mailing address
9735 KINCEY AVE STE 205, HUNTERSVILLE, NC 28078-9120
(704) 885-0550
(704) 885-0550
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
11/07/2025
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