Individual provider · Type 1 NPI
Lily Knight Fatula, MD
Plastic and Reconstructive Surgery Physician · Florence, SC
NPI number
1609305648
Active
Practice location
401 E Cheves St Ste 302
Florence, SC 29506-2615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 51145 (SC) |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 67700 (TN) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
3 other providers at this address
Other plastic and reconstructive surgery physician providers in Florence
About NPI 1609305648
Lily Knight Fatula, MD's National Provider Identifier is 1609305648, issued on Jun 5, 2017. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Florence, SC. The record was last updated on Oct 29, 2025.