Azalea Coast Plastic Surgery, PA

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

AZALEA COAST PLASTIC SURGERY, PA

Practice address

1604 Physicians Dr
Suite 103
Wilmington, NC 28401-7362

Phone

(910) 762-1234

Fax

(910) 762-1232

NPI assigned

Aug 12, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tor Martin Ljung, M.D.

Title

Physician

Phone

(910) 762-1234

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1447406327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 PHYSICIANS DR",
            "address_2": "SUITE 103",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017362",
            "telephone_number": "910-762-1234",
            "fax_number": "910-762-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 PHYSICIANS DR",
            "address_2": "SUITE 103",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017362",
            "telephone_number": "910-762-1234",
            "fax_number": "910-762-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZALEA COAST PLASTIC SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "LJUNG",
        "authorized_official_first_name": "TOR",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "910-762-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Awakening Wellness Professional Corporation
• Axis Prosthetics and Orthotics, Inc
• Lacey Ann Aycock, FNP-C
• Susannah Aylesworth, MD
• Azalea Chiropractic & Acupuncture PLLC
• Azalea Coast Podiatry and Foot Spa, PLLC
• Azalea Coast Therapy, LLC
• Azalea Counseling and Assessment, PLLC
• Azalea Gynecology PA
• Azalea Primary Care

• Medical Specialty Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.