NPI 1013002138

Plastic Surgery Center of Nc INC

Organisation Plastic and Reconstructive Surgery Physician Winston Salem, NC

Practice location

Address: 2901 Maplewood Ave, Winston Salem, NC 27103-4009
Phone: (336) 765-8620
Fax: (336) 768-6236

Authorised official

Name: John Anderson Fagg
Title: President
Phone: (336) 765-8620

Registered specialties (3)

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 200001376220 (NC)

Other Surgery providers in North Carolina →

Plastic and Reconstructive Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 200001355455 (NC)

Plastic and Reconstructive Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence 200001349669 (NC)

Registry record

NPI: 1013002138
Entity type: Organization
NPI issued: 4 Oct 2006
Record last updated: 1 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.