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Organization

SUMMIT PLASTIC AND HAND SURGERY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MOHAN PILLAI (OWNER/PRESIDENT)
(803) 802-2488
Entity
Organization

Contact information

Practice address
1700 FIRST BAXTER CROSSING, SUITE 202, FORT MILL, SC 29708-8954
(803) 802-2488
(803) 802-3352
Mailing address
1700 FIRST BAXTER CROSSING, SUITE 202, FORT MILL, SC 29708-8954
(803) 802-2488
(803) 802-3352

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
27384
SC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
2973844
SC

Other

Enumeration date
05/23/2006
Last updated
11/26/2012
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