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CAROLINAS SKIN CENTER PA NPI 1346790821


NPI Information

NPI: 1346790821
Provider Name: CAROLINAS SKIN CENTER PA
Classification: Plastic Surgery - 208200000X
Entity Type: Organization

CLIA Number: 34D2190325

Address:
3315 SPRINGBANK LANE
SUITE 202
CHARLOTTE, NC
ZIP 28226
Phone: (704) 997-7070
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CAROLINAS SKIN CENTER PA is a plastic surgery in Charlotte, NC. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. CAROLINAS SKIN CENTER PA NPI is 1346790821. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3315 SPRINGBANK LANE
SUITE 202
CHARLOTTE, NC
ZIP 28226
Phone: (704) 997-7070
Fax: (704) 997-7069

The provider's authorized official is David John Nowicky .
The authorized official title is President and has the following contact phone number (980) 254-8405.

The CLIA number assigned to this NPI record is 34D2190325 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/10/2016 and was last updated on 11/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1891317VMEDICAIDNORTH CAROLINA
22010838OTHERNORTH CAROLINAMEDICARE PTAN NUMBER
3G60136MEDICARE PINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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