Organization Name: | COLUMBIA PLASTIC SURGERY, PC |
NPI Number: | 1356549505 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN D NEWKIRK (PRES/OWNER) |
Mailing Address: | 3020 Sunset Blvd Suite 100 West Columbia |
State: | SC US |
Postal Code: | 291693493 |
Phone Number: | 8037962770 |
Fax Number: | 8037962755 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 04/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 23116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |