Organization
NORTH CAROLINA PLASTIC SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BOWERS M.D. (VICE PRESIDENT)
(336) 275-0919
Entity
Organization
Contact information
Practice address
1126 N CHURCH ST, SUITE 101, GREENSBORO, NC 27401-1000
(336) 275-0919
(336) 275-4849
Mailing address
1126 N CHURCH ST, SUITE 101, GREENSBORO, NC 27401-1000
(336) 275-0919
(336) 275-4849
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0212A
GROUP BCBS NC NUMBER
NC
05
—
890212A
—
NC
Enumeration date
09/02/2006
Last updated
07/21/2022
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