CAROLINA PLASTIC SURGERY PA NPI 1659323624

NPI Information

  • NPI: 1659323624
  • Provider Name: CAROLINA PLASTIC SURGERY PA
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 100 E WOOD ST
    STE 100
    SPARTANBURG, SC
    ZIP 29303
  • Phone: (864) 583-1222

Map and Directions

Get Directions

NPI Details

CAROLINA PLASTIC SURGERY PA is an ambulatory surgical clinic center in Spartanburg, SC. CAROLINA PLASTIC SURGERY PA NPI is 1659323624. The provider is registered as an organization entity type.

The provider's business location address is:

100 E WOOD ST
STE 100
SPARTANBURG, SC
ZIP 29303-004
Phone: (864) 583-1222
Fax: (864) 582-5154

The provider's authorized official is Shannan B. Manly .
The authorized official title is Business Manager and has the following contact phone number (864) 583-1222.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 3/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12042MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAMEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI