Southeastern Plastic Surgery Pc

LBN: Southeastern Plastic Surgery Pc
Southeastern Plastic Surgery Pc is an health care organization with primary practice located at 649 N New Hope Rd , Gastonia NC 28054-7424. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Southeastern Plastic Surgery Pc can be contacted via phone (704) 866-4005, or through Timmons, Benson El via phone (704) 866-4005.

Contact Information

Primary practice address
649 N New Hope Rd Gastonia NC 28054-7424
Phone: (704) 866-4005
Fax: (704) 866-0450
Website:
Map and Directions
Authorized official contact:
Name: Timmons, Benson El Doctor of Medicine (MD)
Phone: (704) 866-4005

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X

Profile Details

NPI number 1821068891
LBN Legal business name Southeastern Plastic Surgery Pc
DBA Doing business as
Authorized official Timmons, Benson El Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 19th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821068891 NPPES
North Carolina Other 0269X BCBS
North Carolina MEDICAID 890269X BCBS

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