NPI | 1366405284 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY KEENE HOLDREDGE Doctor Of Plastic Surgery 864-226-7371 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: SC 7807) |
Additional Taxonomies | 208200000X Plastic Surgery (Licence: SC 31311) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2012-11-19 |