NPI 1811192552
Cape Fear Aesthetics PLLC
Practice location
- Address
- 2053 Valleygate Dr STE. 102, Fayetteville, NC 28304-3688
- Phone
- (910) 323-3757
- Fax
- (910) 323-9247
- Mailing address
- PO Box 2814, Bryson City, NC 28713-2814
Authorised official
- Name
- Edward Ernest Dickerson
- Title
- Owner
- Phone
- (910) 323-3757
Registered specialties (2)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
Clinic/Center
Registry record
- NPI
- 1811192552
- Entity type
- Organization
- NPI issued
- 20 Jun 2007
- Record last updated
- 14 Jul 2021
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.