Provider Demographics
NPI:1619310844
Name:PRECISION PLASTIC SURGERY PA
Entity Type:Organization
Organization Name:PRECISION PLASTIC SURGERY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-641-1491
Mailing Address - Street 1:2995 REIDVILLE ROAD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-5668
Mailing Address - Country:US
Mailing Address - Phone:864-641-1491
Mailing Address - Fax:877-406-5192
Practice Address - Street 1:2995 REIDVILLE RD
Practice Address - Street 2:SUITE 150
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-5668
Practice Address - Country:US
Practice Address - Phone:864-641-1491
Practice Address - Fax:877-406-5192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-08
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty