Organization · Type 2 NPI
Prisma Health Medical Group-Midlands
Plastic and Reconstructive Surgery Physician · Sumter, SC
NPI number
1447749510
Active
Practice location
115 N Sumter St Ste 115
Sumter, SC 29150-4968
Fax (803) 774-9735
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Other practice locations
- 738 W Liberty St Ste A, Sumter, SC 29150-4745 · (803) 775-6374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
3 other providers at this address
About NPI 1447749510
Prisma Health Medical Group-Midlands's National Provider Identifier is 1447749510, issued on May 4, 2018. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Sumter, SC. The record was last updated on Dec 18, 2020.