Aesthetic Center For Breast And Cosmetic Surgery, Pa
LBN: Aesthetic Center For Breast And Cosmetic Surgery, Pa
Aesthetic Center For Breast And Cosmetic Surgery, Pa is an health care organization with primary practice located at 615 Halton Rd , Greenville SC 29607-3403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty.
Aesthetic Center For Breast And Cosmetic Surgery, Pa can be contacted via phone (864) 676-1707, or through Graham, Sutton Lewis via phone (864) 676-1707.
Contact Information
Primary practice address
615 Halton Rd
Greenville SC 29607-3403
Phone: (864) 676-1707
Fax: (864) 676-9256
Website:
Authorized official contact:
Name: Graham, Sutton Lewis Doctor of Medicine (MD)
Phone: (864) 676-1707
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 11893 | South Carolina |
Profile Details
| NPI number | 1174906648 |
|---|---|
| LBN Legal business name | Aesthetic Center For Breast And Cosmetic Surgery, Pa |
| DBA Doing business as | |
| Authorized official | Graham, Sutton Lewis Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2015 |
| Last updated | Jul 2nd, 2015 - about 10 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174906648 | NPPES |
| South Carolina | MEDICAID | GP0192 |
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