NPI 1588621213

Salem Plastic Surgery INC

Organisation Specialist Winston-Salem, NC

Practice location

Address: 1345a Westgate Center Dr, Winston-Salem, NC 27103-2934
Phone: (336) 768-8483
Fax: (336) 768-1195
Mailing address: 1345 Westgate Center Dr STE a, Winston Salem, NC 27103-3041

Authorised official

Name: Scott L Tucker
Title: President
Phone: (336) 768-8483

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 75404 (NC)

Other Specialist providers in North Carolina →

Registry record

NPI: 1588621213
Entity type: Organization
NPI issued: 27 Apr 2006
Record last updated: 13 Oct 2008

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.