Southland Plastic Surgery

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

25134 Issued in NC

Legal business name

SOUTHLAND PLASTIC SURGERY

Practice address

501 North Aspen St
Lincolnton, NC 28092-2105

Phone

(704) 735-3116

Fax

(704) 735-5713

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Claude T Falls

Title

Medical Doctor

Phone

(704) 735-3116

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1669538971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1632",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280931632",
            "telephone_number": "704-735-3116",
            "fax_number": "704-735-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 NORTH ASPEN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922105",
            "telephone_number": "704-735-3116",
            "fax_number": "704-735-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND PLASTIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "FALLS",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "704-735-3116"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NC",
            "license": "25134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8931098",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Plastic and Reconstructive Surgery Physician in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Plastic and Reconstructive Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.