Organization
BIRCHENOUGH PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN A. BIRCHENOUGH M.D. (OWNER/M.D.)
(864) 286-9229
Entity
Organization
Contact information
Practice address
29 ROCKY SLOPE RD, GREENVILLE, SC 29607-3909
(864) 286-9229
(864) 286-9228
Mailing address
29 ROCKY SLOPE RD, GREENVILLE, SC 29607-3909
(864) 286-9229
(864) 286-9228
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
31645
SC
Other
Enumeration date
06/04/2009
Last updated
07/30/2009
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