| NPI | 1104101559 |
|---|---|
| Doing Business As | SUMTER PLASTIC & RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | CATHERINE E LUEBBERT COO/Admin Director 803-774-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |