Provider Demographics
NPI:1437764040
Name:ESKRA PLASTIC SURGERY, PLLC
Entity type:Organization
Organization Name:ESKRA PLASTIC SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ESKRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-587-4400
Mailing Address - Street 1:1001 INNOVATION WAY
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-7619
Mailing Address - Country:US
Mailing Address - Phone:919-587-4400
Mailing Address - Fax:
Practice Address - Street 1:1001 INNOVATION WAY
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28504-7619
Practice Address - Country:US
Practice Address - Phone:919-587-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-10
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty