| NPI | 1700176054 |
|---|---|
| Doing Business As | MAGNOLIA PLASTIC SURGERY-ROCKY SLOPE |
| Entity Type | Organization |
| Authorized Contact | MARK AYCOCK Executive Vice President 864-560-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-05-19 |