Poms Facial Surgery Center | |
1140 N Road St Elizabeth City NC 27909-3353 | |
(252) 562-6151 | |
Not Available |
Full Name | Poms Facial Surgery Center |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1140 N Road St, Elizabeth City, North Carolina |
Authorized Official Name and Position | John Won (OWNER) |
Authorized Official Contact | 9192930299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Poms Facial Surgery Center 1140 N Road St Elizabeth City NC 27909-3353 Ph: (252) 562-6151 | Poms Facial Surgery Center 1140 N Road St Elizabeth City NC 27909-3353 Ph: (252) 562-6151 |
NPI Number | 1720563489 |
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Provider Enumeration Date | 09/28/2018 |
Last Update Date | 09/28/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720563489 | NPI | - | NPPES |
1003836321 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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