PLASTIC SURGERY CONSULTANTS LLC NPI 1245319094

NPI Information

PLASTIC SURGERY CONSULTANTS, LLC is a specialist in Columbia, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PLASTIC SURGERY CONSULTANTS, LLC NPI is 1245319094. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1220 BLANDING ST
COLUMBIA, SC
ZIP 29201-816
Phone: (803) 779-1200
Fax: (803) 779-1220

The provider's authorized official is Richard J Wassermann .
The authorized official title is Medical Director and has the following contact phone number (803) 779-1200.

The CLIA number assigned to this NPI record is 42D1039800 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 10/12/2011.

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:

Other Identifiers

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

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