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Contact Information

UPSTATE PLASTIC SURGERY
301 THE PARKWAY
GREER, SC29650
 Phone: 864-968-0168
 Fax: 864-968-9248
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for UPSTATE PLASTIC SURGERY

NPI # 1013075712
LBN Legal business name UPSTATE PLASTIC SURGERY
Authorized official KEVIN KELLER - (PHY OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/05/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC Medicaid 161372
Other 1558475574 NPI ELIZABETH A ROTHMAN M
Other 1952419863 NPI JAMES E LOVETT III MD
Other 1467569574 NPI KEVIN M KELLER MD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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