| Evolve Medical Spa Pllc | |
|
101 E Market St Ste 3c Smithfield NC 27577-3981 | |
| (919) 205-1376 | |
| (919) 205-1378 |
| Full Name | Evolve Medical Spa Pllc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 101 E Market St Ste 3c, Smithfield, North Carolina |
| Authorized Official Name and Position | Nitzan Daniel Catz (PRESIDENT/OWNER) |
| Authorized Official Contact | 9199340948 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Medical Spa Pllc Po Box 571 Smithfield NC 27577-0571 Ph: (919) 934-0948 | Evolve Medical Spa Pllc 101 E Market St Ste 3c Smithfield NC 27577-3981 Ph: (919) 205-1376 |
| NPI Number | 1194140129 |
|---|---|
| Provider Enumeration Date | 02/27/2014 |
| Last Update Date | 02/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194140129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 31119 (North Carolina) | Primary |
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