Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI Number | 1801133699 |
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| LBN Legal business name | SAVANNAH RIVER PLASTIC SURGERY | ||||||||
| Authorized official | BILLY LYNN - (OWNER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 01/14/2013 | ||||||||
| Last updated | 03/16/2022 - About 4 years ago | ||||||||
| Identifiers |
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