Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlotte Reconstructive Surgery, PLLC

Organization Specialist · NPI 1346452927

Charlotte Reconstructive Surgery, PLLC is a Specialist in Charlotte, North Carolina. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2215 Randolph Rd
Charlotte, NC 28207-1523
Phone: (704) 971-1438
Fax: (704) 688-3899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1346452927
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Milly Moore — Accounting Manager · (704) 971-1438
NPI enumeratedMay 4, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2215 Randolph Rd, Charlotte, NC 28207-1523

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