Organization
COLUMBIA PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D NEWKIRK MD (PRES/OWNER)
(803) 796-2770
Entity
Organization
Contact information
Practice address
3020 SUNSET BLVD, SUITE 100, WEST COLUMBIA, SC 29169-3493
(803) 796-2770
(803) 796-2755
Mailing address
3020 SUNSET BLVD, SUITE 100, WEST COLUMBIA, SC 29169-3493
(803) 796-2770
(803) 796-2755
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23116
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508837345
PROVIDER NPI
SC
Enumeration date
07/10/2007
Last updated
04/16/2009
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