Individual
LILY KNIGHT FATULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 E CHEVES ST STE 302, FLORENCE, SC 29506-2615
(843) 777-7255
Mailing address
401 E CHEVES ST STE 302, FLORENCE, SC 29506-2615
(843) 777-5648
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
51145
SC
2086S0122X
Plastic and Reconstructive Surgery Physician
67700
TN
Other
Enumeration date
06/05/2017
Last updated
10/29/2025
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