NPI Provider: 1316202948
Contact Name: BLANKS A DEIDRA
Position: OWNER
Phone: (910) 762-1070
Wilmington Aesthetic Facial Plastic And Reconstructive Center, Llc Information:
Wilmington Aesthetic Facial Plastic And Reconstructive Center, Llc organization have npi 1316202948, taxonomy code is 207YS0123X with license number is 2006-00621 in . This Business address located in 1604 PHYSICIANS DR, WILMINGTON, NC 28401 North Carolina.
Practice Location
Address: 1604 PHYSICIANS DR, WILMINGTON, NC 28401
Phone: (910) 762-1070
Business Location
Address: 1604 PHYSICIANS DR, WILMINGTON, NC 28401
Phone: (910) 762-1070
Fax: (910) 762-1083
Taxonomy
Taxonomy Code: 207YS0123X
License Number: 2006-00621
License Number of State: NC
Primary Taxonomy Switch: Y
Enumeration Date: 07/10/2012
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