Provider Demographics
NPI:1346477940
Name:NATIONAL PLASTIC SURGERY, PLLC
Entity Type:Organization
Organization Name:NATIONAL PLASTIC SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:EPPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-841-4197
Mailing Address - Street 1:2702 NASHBORO BLVD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37217-4861
Mailing Address - Country:US
Mailing Address - Phone:202-841-4197
Mailing Address - Fax:202-330-5176
Practice Address - Street 1:5530 WISCONSIN AVE
Practice Address - Street 2:SUITE 1510
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4404
Practice Address - Country:US
Practice Address - Phone:202-841-4197
Practice Address - Fax:202-330-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00687522086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty