Individual
MR. DAVID J NOWICKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3315 SPRINGBANK LN, SUITE 202, CHARLOTTE, NC 28226-3197
(704) 997-7070
Mailing address
5033 MILFORD RD, CHARLOTTE, NC 28210-2861
(980) 254-8405
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
200201133
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1317V
BLUE CROSS
NC
01
—
5525536
AETNA
NC
Enumeration date
05/19/2006
Last updated
02/09/2017
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