Individual
DR. MANUEL G TRUJILLO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2755 S HIGHWAY 14 STE 2050, GREER, SC 29650-4933
(864) 849-9330
(864) 530-6990
Mailing address
220 INDIAN WELLS DR, SPARTANBURG, SC 29306-6625
(864) 612-0045
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
31158
SC
208600000X
Surgery Physician
31158
SC
208600000X
Surgery Physician
LL31158
SC
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
31158
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
311585
—
SC
01
—
SCA8573365
MEDICARE PIN
SC
01
—
SCA8577628
MEDICARE PIN
SC
Enumeration date
08/12/2008
Last updated
10/30/2023
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