PIEDMONT PLASTIC SURGERY NPI 1255464376

NPI Information

NPI: 1255464376
Provider Name: PIEDMONT PLASTIC SURGERY
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
305A W ALEXANDER AVE
GREENWOOD, SC
ZIP 29646
Phone: (864) 223-0505
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PIEDMONT PLASTIC SURGERY is a plastic and reconstructive surgery surgery in Greenwood, SC. The provider is a surgeon who specializes in plastic and reconstructive surgery. PIEDMONT PLASTIC SURGERY NPI is 1255464376. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

305A W ALEXANDER AVE
GREENWOOD, SC
ZIP 29646-009
Phone: (864) 223-0505
Fax: (864) 223-7075

The provider's authorized official is Ted R Vaughn .
The authorized official title is Surgeon and has the following contact phone number (864) 223-0505.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 11/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery	12007	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GP0728	MEDICAID	SOUTH CAROLINA
2	C688983925	MEDICARE OSCAR/CERTIFICATION	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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