Forsyth Plastic Surgical Assoc Pa in Winston Salem - Plastic Surgery
Forsyth Plastic Surgical Assoc Pa - NPI 1811090475
Forsyth Plastic Surgical Assoc Pa is a Plastic Surgery in Winston Salem, North Carolina. Forsyth Plastic Surgical Assoc Pa practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Forsyth Plastic Surgical Assoc Pa is 1811090475. The last update date is 2020-08-22.
Forsyth Plastic Surgical Assoc Pa's current location address is 2901 Maplewood Ave, Winston Salem, North Carolina. You can contact this provider via phone number 3367658620 and fax number 3367686236. The mailing address for Forsyth Plastic Surgical Assoc Pa is 2901 Maplewood Ave, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Forsyth Plastic Surgical Assoc Pa |
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Address | 2901 Maplewood Ave, Winston Salem, North Carolina |
Phone Number | 3367658620 |
Fax Number | 3367686236 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Fagg Anduson John |
Credentials | MD |
Telephone Number | 3367658620 |
NPI Number Detail
NPI Number | 1811090475 |
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Provider Enumeration Date | 2006-09-07 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2901 Maplewood Ave |
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City | Winston Salem |
State | North Carolina (NC) |
Post Code | 27103 |
Phone Number | 3367658620 |
Fax Number | 3367686236 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery |
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Taxonomy | 208200000X |
Licence No | 200001225739 |
Definition: 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 c |
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What is the unique provider identifier assigned to Forsyth Plastic Surgical Assoc Pa?
The Forsyth Plastic Surgical Assoc Pa has been issued the NPI (National Provider Identifier) 1811090475 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Forsyth Plastic Surgical Assoc Pa?
The Forsyth Plastic Surgical Assoc Pa is physically situated at 2901 Maplewood Ave, in the city of Winston Salem, state of NC, with the postal code 27103.
What is the Forsyth Plastic Surgical Assoc Pa's area of specialization and corresponding taxonomy classification?
The Forsyth Plastic Surgical Assoc Pa's specialty field is Plastic Surgery, and it falls under the taxonomy code 208200000X, which categorizes healthcare providers based on their specialties.
On what date did the Forsyth Plastic Surgical Assoc Pa receive its 1811090475 assignment from the Centers for Medicare & Medicaid Services?
The Forsyth Plastic Surgical Assoc Pa was assigned its 1811090475 by the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date were the details pertaining to Forsyth Plastic Surgical Assoc Pa last refreshed?
The information related to the Forsyth Plastic Surgical Assoc Pa, including its address, specialty, and other relevant details, was last updated on 2020-08-22.