SOUTH CHARLOTTE PLASTIC SURGERY LLC NPI 1982260980

NPI Information

SOUTH CHARLOTTE PLASTIC SURGERY, LLC is a plastic and reconstructive surgery surgery in Rock Hill, SC. The provider is a surgeon who specializes in plastic and reconstructive surgery. SOUTH CHARLOTTE PLASTIC SURGERY, LLC NPI is 1982260980. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1721 EBENEZER RD STE 115
ROCK HILL, SC
ZIP 29732-119
Phone: (843) 898-8058
Fax: (843) 405-7021

The provider's authorized official is Paul Diegidio .
The authorized official title is Owner and has the following contact phone number (843) 898-8058.

The enumeration date for this NPI number is 5/15/2019 and was last updated on 5/7/2020.

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:

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