Organization
SOUTHEASTERN PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENSON EL TIMMONS IV MD (PRESIDENT)
(704) 866-4005
Entity
Organization
Contact information
Practice address
649 N NEW HOPE RD, GASTONIA, NC 28054-7424
(704) 866-4005
(704) 866-0450
Mailing address
649 N NEW HOPE RD, GASTONIA, NC 28054-7424
(704) 866-4005
(704) 866-0450
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0269X
BCBS
NC
05
—
890269X
—
NC
Enumeration date
01/24/2006
Last updated
08/19/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us