Magnolia Plastic Surgery-Rocky Slope

LBN: Spartanburg Regional Med Ctr
Magnolia Plastic Surgery-Rocky Slope is an health care organization with primary practice located at 29 Rocky Slope Rd , Greenville SC 29607-3909. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Spartanburg Regional Med Ctr can be contacted via phone (864) 286-9229, or through Aycock, Mark via phone (864) 560-6000.

Contact Information

Primary practice address
29 Rocky Slope Rd Greenville SC 29607-3909
Phone: (864) 286-9229
Fax: (864) 286-9228
Website:
Map and Directions
Authorized official contact:
Name: Aycock, Mark
Phone: (864) 560-6000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X

Profile Details

NPI number 1700176054
LBN Legal business name Spartanburg Regional Med Ctr
DBA Doing business as Magnolia Plastic Surgery-Rocky Slope
Authorized official Aycock, Mark
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 7th, 2011
Last updated May 19th, 2011 - about 15 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 1700176054 NPPES
South Carolina MEDICAID GP1118

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