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Contact Information

SPARTANBURG PLASTIC & RECONTRUCTIVE SURGERY
1702 SKYLYN DR
SPARTANBURG, SC29307
 Phone: 864-585-3608
 Fax: 864-585-3745
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SPARTANBURG PLASTIC RECONTRUCTIVE SURGERY · (Female)

NPI # 1174581391
Status Active
Credentials
Entity Individual
Enumeration date 05/04/2006
Last updated 08/04/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 8147
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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