Organization
GREENVILLE FACIAL PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE HICKS MD (PHYSICIAN/OWNER)
(864) 990-4240
Entity
Organization
Contact information
Practice address
107 MILLS AVE, GREENVILLE, SC 29605-4017
(864) 990-4240
Mailing address
37 DOUGLAS DR, GREENVILLE, SC 29605-1207
(864) 275-8333
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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