Organization
NOWICKY PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MORIARTY (BILLING MANAGER)
(704) 947-3331
Entity
Organization
Contact information
Practice address
19620 W CATAWBA AVE, SUITE 200, CORNELIUS, NC 28031-4052
(704) 947-3331
(704) 766-3426
Mailing address
PO BOX 1644, HUNTERSVILLE, NC 28070-1644
(704) 947-3331
(704) 766-3426
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
04/07/2010
Last updated
11/12/2010
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