Foothills Plastic Surgery, Llc

LBN: Foothills Plastic Surgery, Llc
Foothills Plastic Surgery, Llc is an health care organization with primary practice located at 2755 S Highway 14 Suite 2150, Greer SC 29650-4902. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Foothills Plastic Surgery, Llc can be contacted via phone (864) 288-8118, or through Suber, W. John via phone (864) 288-8118.

Contact Information

Primary practice address
2755 S Highway 14 Suite 2150 Greer SC 29650-4902
Fax: (864) 288-8113
Website:
Authorized official contact:
Name: Suber, W. John Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21476 South Carolina

Profile Details

NPI number 1861522922
LBN Legal business name Foothills Plastic Surgery, Llc
DBA Doing business as
Authorized official Suber, W. John Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2007
Last updated Jun 27th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861522922 NPPES
South Carolina Other 21476 LICENSE
South Carolina MEDICAID 214761 LICENSE

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