Queen City Plastic Surgery

NPI 1225437643 - Plastic Surgery - 208200000X

NPI Details
NPI 1225437643
Enumeration Date 08/21/2014
Last Updated 06/29/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name ENAMUAL ENAMUAL
Position OWNER
Phone (704) 372-5685
Fax (704) 372-5686
Practice Location
3025 SPRINGBANK LN
SUITE 240
CHARLOTTE NC, 28226-3362, US
Phone (704) 372-5685
Fax (704) 372-5686
Business Location
3025 SPRINGBANK LN
SUITE 240
CHARLOTTE NC, 28226-3362, US
Phone (704) 372-5685
Fax (704) 372-5686
Toxanomy
Taxonomy Code 208200000X
License State North Carolina
License Number 200901161
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According to our database, Queen City Plastic Surgery NPI is 1225437643, taxonomy code is 208200000X and license number is 200901161, license state is located at North Carolina. Queen City Plastic Surgery physically located at 3025 Springbank Ln, Charlotte NC, 28226-3362. NPI Number 1033115704 has the healthcare provider type.

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1225437643 NPI number is provided on an as is basis without warranty of any kind. 1225437643 is maintained by the National Plan & Provider Enumeration System. The contents of Queen City Plastic Surgery are for informational purposes only.