Broc Lane Pratt in Charlotte - Plastic Surgery Within The Head And Neck
Broc Lane Pratt - NPI 1770522849
Broc Lane Pratt is a Plastic Surgery Within The Head And Neck in Charlotte, North Carolina. Broc Lane Pratt practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Broc Lane Pratt is 1770522849. The last update date is 2010-07-28.
Broc Lane Pratt's current location address is Po Box 32861, Charlotte, North Carolina. You can contact this provider via phone number 7044466810 and fax number 8772848933. The mailing address for Broc Lane Pratt is Po Box 32861, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Broc Lane Pratt |
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Address | Po Box 32861, Charlotte, North Carolina |
Phone Number | 7044466810 |
Fax Number | 8772848933 |
Sole Proprietor | N |
Credentials | M.D |
NPI Number Detail
NPI Number | 1770522849 |
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Provider Enumeration Date | 2006-06-05 |
Last Updated Date | 2010-07-28 |
Provider Mailing Address Detail
Address | Po Box 32861 |
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City | Charlotte |
State | North Carolina (NC) |
Post Code | 282322861 |
Phone Number | 7044466810 |
Fax Number | 8772848933 |
Provider's Primary Taxonomy Detail
Speciality | Plastic Surgery Within The Head And Neck |
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Taxonomy | 2082S0099X |
Licence No | 2005-01398 |
Definition: A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
5901841 | NC | -- | |
140KC | NC | NCBCBS | |
N98005 | SC | -- |
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What is the Broc Lane Pratt's unique identification number?
The Broc Lane Pratt has been assigned the NPI (National Provider Identifier) Number 1770522849 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Broc Lane Pratt's physical address?
The Broc Lane Pratt is physically located at Po Box 32861, in the city of Charlotte, NC, with the postal code 282322861.
What is Broc Lane Pratt's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Broc Lane Pratt is Plastic Surgery Within The Head And Neck, and the taxonomy code that categorizes this field of expertise is 2082S0099X.
On what date did Broc Lane Pratt receive its 1770522849 assignment from the Centers for Medicare & Medicaid Services?
The Broc Lane Pratt was assigned its 1770522849 on 2006-06-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Broc Lane Pratt most recently updated or revised?
The information pertaining to Broc Lane Pratt, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-28.
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