Organization · Type 2 NPI

Spartanburg Regional Med CTR

Plastic and Reconstructive Surgery Physician · Greer, SC

NPI number 1164536074 Active

Practice location

2755 S Highway 14, Suite 1200L
Greer, SC 29650-4902

Call (864) 849-9330 Map

Fax (864) 560-4413

Mailing address

PO Box 2168
Spartanburg, SC 29304

Specialties and licenses

Taxonomy	Code	License
Plastic and Reconstructive Surgery Physician Primary	2086S0122X	None listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

39 other providers at this address

NPI record

NPI: 1164536074
Entity type: Organization (Type 2)
Issued: Aug 18, 2006
Last updated: Apr 23, 2009
Status: Active
Subpart: Yes of Spartanburg Regional Health Services District, Inc

Other names

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Magnolia Center for Plastic Surgery Village of Pelham · doing business as

Authorized official

Gina Michelle Hillers
Credentialing Specialist
(864) 560-4057

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1164536074

Spartanburg Regional Med CTR's National Provider Identifier is 1164536074, issued on Aug 18, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Greer, SC. The record was last updated on Apr 23, 2009.