Forsyth Plastic Surgical Assoc Pa

NPI 1811090475 - Plastic Surgery - 208200000X

NPI Details
NPI 1811090475
Enumeration Date 09/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOHN ANDUSON JOHN
Position PRESIDENT
Phone (336) 765-8620
Fax (336) 768-6236
Practice Location
2901 MAPLEWOOD AVE
WINSTON SALEM NC, 27103, US
Phone (336) 765-8620
Fax (336) 768-6236
Business Location
2901 MAPLEWOOD AVE
WINSTON SALEM NC, 27103, US
Phone (336) 765-8620
Fax (336) 768-6236
Toxanomy
Taxonomy Code 208200000X
License State North Carolina
License Number 200001225739
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According to our database, Forsyth Plastic Surgical Assoc Pa NPI is 1811090475, taxonomy code is 208200000X and license number is 200001225739, license state is located at North Carolina. Forsyth Plastic Surgical Assoc Pa physically located at 2901 Maplewood Ave, Winston Salem NC, 27103. NPI Number 1033115704 has the healthcare provider type.

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1811090475 NPI number is provided on an as is basis without warranty of any kind. 1811090475 is maintained by the National Plan & Provider Enumeration System. The contents of Forsyth Plastic Surgical Assoc Pa are for informational purposes only.