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

Plastic Surgery Center of Nc Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1013002138

Plastic Surgery Center of Nc Inc is a Plastic and Reconstructive Surgery Physician in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2901 Maplewood Ave
Winston Salem, NC 27103-4009
Phone: (336) 765-8620
Fax: (336) 768-6236
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 200001376220 (NC)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 200001355455 (NC)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 200001349669 (NC)

Record details

NPI number1013002138
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationPlastic Surgery Center of Nc Inc
Authorized official John Fagg — President · (336) 765-8620
NPI enumeratedOctober 4, 2006
Last updated in NPPESAugust 1, 2007
Mailing address2901 Maplewood Ave, Winston Salem, NC 27103-4009

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