NPI 1174906648

Aesthetic Center for Breast and Cosmetic Surgery, PA

Organisation Plastic Surgery Physician Greenville, SC

Practice location

Address: 615 Halton Rd, Greenville, SC 29607-3403
Phone: (864) 676-1707
Fax: (864) 676-9256

Authorised official

Name: Sutton Lewis Graham
Title: Owner
Phone: (864) 676-1707

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 11893 (SC)

Other Plastic Surgery providers in South Carolina →

Registry record

NPI: 1174906648
Entity type: Organization
NPI issued: 2 Jul 2015
Record last updated: 2 Jul 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.