National Provider Identifier Database

GREENVILLE FACIAL PLASTIC SURGERY LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

GREENVILLE FACIAL PLASTIC SURGERY, LLC
107 MILLS AVE
GREENVILLE, SC29605-4017
Phone: 864-990-4240
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for GREENVILLE FACIAL PLASTIC SURGERY, LLC

NPI Number 1073224416
Legal business name
LBN
GREENVILLE FACIAL PLASTIC SURGERY, LLC
Authorized official KATHERINE HICKS - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/07/2022
Last updated 12/07/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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