| NPI | 1164536074 |
|---|---|
| Doing Business As | MAGNOLIA CENTER FOR PLASTIC SURGERY VILLAGE OF PELHAM |
| Entity Type | Organization |
| Authorized Contact | GINA MICHELLE HILLERS Credentialing Specialist 864-560-4057 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-04-23 |