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

South Park Aesthetics

Organization Clinic/Center · NPI 1316861578

South Park Aesthetics is a Clinic/Center in Charlotte, North Carolina. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

5970 Fairview Rd
Charlotte, NC 28210-3167
Phone: (704) 710-6511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1316861578
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Georgina Rotberg — Mbr · (310) 990-1323
NPI enumeratedAugust 8, 2026
Last updated in NPPESAugust 8, 2026
Certification dateAugust 8, 2026
Mailing address5970 Fairview Rd, Charlotte, NC 28210-3167

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