CAROLINA PLASTIC SURGERY PA NPI 1659323624

NPI Information

NPI: 1659323624
Provider Name: CAROLINA PLASTIC SURGERY PA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
100 E WOOD ST
STE 100
SPARTANBURG, SC
ZIP 29303
Phone: (864) 583-1222
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CAROLINA PLASTIC SURGERY PA is an ambulatory surgical clinic center in Spartanburg, SC. CAROLINA PLASTIC SURGERY PA NPI is 1659323624. The provider is registered as an organization entity type.

The provider's business location address is:

100 E WOOD ST
STE 100
SPARTANBURG, SC
ZIP 29303-004
Phone: (864) 583-1222
Fax: (864) 582-5154

The provider's authorized official is Shannan B. Manly .
The authorized official title is Business Manager and has the following contact phone number (864) 583-1222.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 3/7/2012.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			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	2042	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA	MEDICARE ID

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: 4/28/2024

NPI Synchronization or Removal

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