Organization
CAROLINA FACIAL PLASTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KULBERSH (OWNER)
(843) 906-4761
Entity
Organization
Contact information
Practice address
6849 FAIRVIEW RD STE 200, CHARLOTTE, NC 28210-3664
(704) 323-5090
Mailing address
6849 FAIRVIEW RD STE 200, CHARLOTTE, NC 28210-3664
(704) 323-5090
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
2010-0220
NC
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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