Organization
MATTHEWS PLASTIC SURGERY ASSOC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J BICKET MD (PRESIDENT)
(704) 845-9800
Entity
Organization
Contact information
Practice address
1450 MATTHEWS TOWNSHIP PKWY, SUTIE 270, MATTHEWS, NC 28105-2387
(704) 845-9800
(704) 845-9890
Mailing address
1450 MATTHEWS TOWNSHIP PKWY, SUITE 270, MATTHEWS, NC 28105-2387
(704) 845-9800
(704) 845-9890
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891541B
—
NC
Enumeration date
04/27/2006
Last updated
03/10/2010
Update your record
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