Organization
CAROLINAS PLASTIC SURGERY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER H CAULFIELD III MD (PRESIDENT)
(704) 866-8976
Entity
Organization
Contact information
Practice address
760 N NEW HOPE RD, SUITE A, GASTONIA, NC 28054-4037
(704) 866-8976
(704) 866-8680
Mailing address
760 N NEW HOPE RD, SUITE A, GASTONIA, NC 28054-4037
(704) 866-8976
(704) 866-8680
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9600039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8921748
—
NC
Enumeration date
12/01/2006
Last updated
08/22/2020
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