Organization · Type 2 NPI
Plastic & Reconstructive Surgery of Sumter, PA
Specialist · Sumter, SC
NPI number
1659560407
Active
Practice location
18 Miller Rd
Sumter, SC 29150-2403
Fax (803) 773-6009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 17109 (SC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Sumter
About NPI 1659560407
Plastic & Reconstructive Surgery of Sumter, PA's National Provider Identifier is 1659560407, issued on Oct 17, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sumter, SC. The record was last updated on Dec 3, 2014.