Organization
GREENVILLE PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS CORNELIUS MCFADDEN JR. M.D. (MEDICAL DIRECTOR)
(864) 297-9113
Entity
Organization
Contact information
Practice address
29 ROCKY SLOPE RD, GREENVILLE, SC 29607-3909
(864) 297-9113
(864) 297-9184
Mailing address
29 ROCKY SLOPE RD, GREENVILLE, SC 29607-3909
(864) 297-9113
(864) 297-9184
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2236
SC
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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