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PLASTIC SURGERY ASSOCIATES OF GREENVILLE LLC

Physicians - Surgery Plastic and Reconstructive Surgery

Greenville, South Carolina

Provider NPI: 1104026541

Organization Information:
Organization Name:  PLASTIC SURGERY ASSOCIATES OF GREENVILLE LLC


Practice Location:
24 MEMORIAL MEDICAL DR  GREENVILLE, SC 29605 US
Tel: 864-295-4160  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2086S0122XPhysicians
Surgery
Plastic and Reconstructive Surgery
SC9152

Other Provider Identifiers:

IssuerNumberStateType
PC1798SC05
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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