Active NPI 1407964547 Individual Practitioner Male Practitioner

Dr. Frederick Kim Park , MD

Plastic Surgery • Rocky Mount, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Frederick Park, MD is a certified Plastic Surgery practicing in Rocky Mount, NC. With approximately 43 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1983, Dr. Park delivers high-quality medical care to the local community at 4008 CAPITAL DRIVE.

Dr. Park maintains professional affiliations with Park Plastic Surgery Pa, James River Dermatology Pllc, Wilmington Dermatology Center Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include complicated repair of wound of trunk, 2.6-7.5 cm, repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs, removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4008 Capital Drive

Rocky Mount, NC 27804

Telephone 2529375003

Fax 2529373020

Associated Practice Facility / Clinic

🏢 Park Plastic Surgery, P.a. Facility NPI 1265533806

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Rocky Mount, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs Matches City Avg

City Avg: 43.0 Yrs

State Avg: 24.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Rocky Mount, NC (147 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Park (43 Years) 43 Yrs

Rocky Mount Specialty Average (43.0 Years) 43.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	167	156	$705.63	$379.25
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	157	150	$790.70	$408.54
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	156	150	$461.10	$119.32
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	98	95	$523.73	$133.83
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	90	84	$322.09	$83.00
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	63	61	$874.62	$452.98
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	37	36	$430.41	$249.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	26	$93.56	$52.69
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$135.00	$67.38
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	27	26	$474.48	$118.88
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	25	$538.40	$250.29
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	22	22	$587.45	$190.29
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	20	$351.71	$95.07
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	18	$503.00	$129.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$175.00	$103.92
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	16	15	$544.88	$281.14
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	11	$327.07	$85.15
99213 Established patient office or other outpatient visit, typically 15 minutes	13	12	$145.00	$84.87
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	13	13	$555.31	$152.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	208	192	$460.79	$119.71
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	158	152	$705.66	$386.31
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	153	147	$789.76	$417.20
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	97	92	$318.04	$84.86
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	66	61	$527.73	$134.63
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	65	63	$926.51	$460.15
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	59	57	$522.88	$246.55
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$135.00	$68.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	27	$92.59	$53.42
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	43	42	$469.86	$126.54
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	37	35	$429.22	$253.92
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	27	27	$587.19	$257.50
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$339.00	$95.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$175.00	$105.98
12041 Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less	14	14	$444.50	$259.48
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$503.00	$132.13
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$327.00	$87.85
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$150.00	$85.62
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	12	12	$553.17	$286.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	197	184	$459.71	$122.23
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	148	139	$789.78	$427.99
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	120	118	$688.75	$402.26
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	118	114	$526.40	$262.74
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	91	88	$324.68	$85.98
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	77	74	$517.69	$138.68
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	71	70	$960.18	$471.14
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	55	53	$470.05	$125.54
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$135.00	$66.63
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	40	39	$574.63	$270.74
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	36	35	$428.17	$257.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	26	$90.42	$52.23
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$136.90	$83.96
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	18	18	$538.89	$264.30
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$344.17	$99.60
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	14	$526.20	$132.31
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	14	14	$531.07	$266.06
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$317.25	$90.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$175.00	$104.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	309	283	$527.94	$230.94
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	145	140	$568.61	$305.67
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	121	113	$495.67	$142.85
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	86	78	$330.79	$85.55
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	51	49	$724.12	$413.32
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	44	41	$532.84	$229.58
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	37	34	$805.16	$450.26
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	35	$794.57	$419.51
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	31	30	$432.29	$253.94
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	28	$454.47	$122.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$258.33	$163.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	23	$84.43	$54.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$175.00	$109.01
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	24	24	$347.88	$100.25
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	23	23	$557.04	$163.24
12034 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm	21	19	$549.19	$225.58
11624 Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals	19	19	$630.26	$343.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$189.06	$126.04
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$135.00	$70.64
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$135.00	$88.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	306	271	$528.46	$197.61
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	182	168	$567.46	$312.15
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	61	61	$322.85	$85.62
99202 New patient office or other outpatient visit, typically 20 minutes	59	59	$135.00	$73.55
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	58	56	$504.76	$137.78
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	43	41	$809.74	$452.97
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	38	36	$338.58	$98.29
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	37	36	$425.84	$244.80
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	37	37	$710.00	$407.14
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	36	33	$546.94	$168.60
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	36	36	$533.00	$211.82
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$122.65	$72.51
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	31	$456.35	$125.09
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	29	29	$794.10	$419.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	25	$84.79	$43.91
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	23	23	$603.26	$311.50
11624 Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals	20	20	$630.30	$344.56
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	15	15	$912.47	$483.96
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	14	14	$559.14	$162.84
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$510.25	$148.10
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	12	12	$746.50	$364.14
11102 Tangential biopsy of single skin lesion	12	11	$200.00	$96.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	233	208	$791.58	$396.98
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	227	199	$571.09	$154.93
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	160	147	$926.37	$466.64
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	158	144	$702.66	$363.12
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	120	108	$507.92	$143.54
99213 Established patient office or other outpatient visit, typically 15 minutes	96	63	$105.34	$70.38
99202 New patient office or other outpatient visit, typically 20 minutes	94	94	$135.00	$72.78
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	56	53	$606.70	$155.70
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	52	51	$328.92	$83.85
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	43	$532.93	$297.62
11606 Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm	43	42	$816.09	$445.04
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	39	37	$557.90	$148.39
11624 Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals	33	31	$639.00	$167.92
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	29	$84.39	$43.11
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	31	29	$356.19	$95.63
11102 Tangential biopsy of single skin lesion	26	25	$198.23	$86.52
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	25	25	$420.76	$231.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	23	12	$4.00	$1.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$175.00	$99.55
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	20	11	$175.00	$72.75
11644 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	20	20	$740.80	$215.24
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$517.50	$145.61
20550 Injection into tendon or ligament	12	11	$155.00	$51.11
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	11	11	$233.59	$119.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	361	164	$105.00	$69.04
99202 New patient office or other outpatient visit, typically 20 minutes	140	140	$135.00	$71.70
11310 Shaving of 0.5 centimeters or less skin growth of face, ears, eyelids, nose, lips, or mouth	43	20	$175.00	$70.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$175.00	$100.95
11100 Biopsy of single growth of skin and/or tissue	34	32	$160.00	$98.80
17250 Application of chemical to stop tissue regrowth in wound	22	13	$125.00	$72.15
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	19	19	$867.89	$400.06
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	18	16	$200.00	$73.83
17000 Destruction of skin growth	15	15	$140.00	$54.44
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	15	15	$577.00	$151.43
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	13	$1167.14	$460.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	469	192	$105.20	$69.69
99202 New patient office or other outpatient visit, typically 20 minutes	197	197	$134.70	$71.01
11100 Biopsy of single growth of skin and/or tissue	46	42	$157.61	$96.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$175.00	$100.89
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	31	30	$895.00	$384.79
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	29	28	$1325.00	$451.53
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	15	$4.00	$1.78
11604 Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm	24	23	$575.00	$161.85
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	21	18	$460.00	$166.43
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	19	16	$200.00	$69.25
11624 Removal of malignant growth (3.1 to 4 centimeters) of the scalp, neck, hands, feet, or genitals	19	19	$675.00	$177.88
11623 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm	17	16	$560.00	$201.76
20550 Injection into tendon or ligament	14	11	$155.00	$47.05
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	14	13	$675.00	$320.87
17000 Destruction of skin growth	12	11	$140.00	$57.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$103.64	$41.33

Medical Specialties & State Licenses

CMS Verified: 2025-08-11

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NC 36793

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1407964547 (NC)

Hospital & Practice Group Affiliations

Wilmington Dermatology Center Pllc

710 Military Cutoff Rd, Wilmington, NC 284052382

Phone: 9102564350

James River Dermatology Pllc

1316 Alverser Plz, Midlothian, VA 231132604

Phone: 8043790116

Park Plastic Surgery Pa

4008 Capital Dr, Rocky Mount, NC 278043123

Phone: 2529375003

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Laura Bastian

Registered Nurse

NPI 1114706686

Susan Everette , RN, MSN, FNP

Nurse Practitioner

NPI 1730291923

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 18, 2016

Registered at 4008 CAPITAL DRIVE, ROCKY MOUNT, NC 27804 (Tel: 2529375003)

📍

Updated Business Mailing Address February 18, 2016

Registered at 4008 CAPITAL DRIVE, ROCKY MOUNT, NC 27804 (Tel: 2529375003)

👤

Provider Name / Credentials Updated February 18, 2016

Recorded as FREDERICK PARK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2016

Plastic Surgery (License #36793 in NC)

🟢

Initial NPI Registration & Enumeration August 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1407964547

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 28, 2006

Last Update: August 11, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4008 Capital Drive

Rocky Mount, NC 27804

Phone: 2529375003

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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