Provider Demographics
NPI:1689940603
Name:ASHEVILLE AESTHETIC PLASTIC SURGERY
Entity Type:Organization
Organization Name:ASHEVILLE AESTHETIC PLASTIC SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:MCCAIN
Authorized Official - Last Name:DRAPER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-277-5400
Mailing Address - Street 1:108 YORKSHIRE STREET
Mailing Address - Street 2:SUITE D
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-2759
Mailing Address - Country:US
Mailing Address - Phone:828-277-5400
Mailing Address - Fax:828-277-5533
Practice Address - Street 1:108 YORKSHIRE STREET
Practice Address - Street 2:SUITE D
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-2759
Practice Address - Country:US
Practice Address - Phone:828-277-5400
Practice Address - Fax:828-277-5533
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASHEVILLE AESTHETIC PLASTIC SURGERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC340912086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty