Organization
PLASTIC SURGERY ASSOCIATES OF GREENVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA NORRIS (OFFICE MANAGER)
(864) 295-4160
Entity
Organization
Contact information
Practice address
24 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4452
(864) 295-4160
Mailing address
24 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4452
(864) 295-4160
(864) 295-0445
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
9152
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1798
—
SC
Enumeration date
07/24/2007
Last updated
07/21/2022
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