Organization
SOUTH CHARLOTTE PLASTIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL DIEGIDIO MD (OWNER)
(843) 898-8058
Entity
Organization
Contact information
Practice address
1721 EBENEZER RD STE 115, ROCK HILL, SC 29732-1119
(843) 898-8058
(843) 405-7021
Mailing address
1721 EBENEZER RD STE 115, ROCK HILL, SC 29732-1119
(843) 898-8058
(843) 405-7021
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
05/15/2019
Last updated
05/07/2020
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