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DR. SHAWN A BIRCHENOUGH MD

Physicians - Surgery Plastic and Reconstructive Surgery

Spartanburg, South Carolina

Provider NPI: 1518172972

Provider Information:
DR. SHAWN A BIRCHENOUGH MD


Practice Location:
391 SERPENTINE DR SUITE 250 SPARTANBURG, SC 29303 US
Tel: 864-560-6717  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208200000XPhysicians
Plastic Surgery
SC31645
Y2086S0122XPhysicians
Surgery
SC31645

Other Provider Identifiers:

IssuerNumberStateType
5918104NC05
316456SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



RECONSTRUCTIVE SURGERY JOBS SC - Page 1



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