OrganizationActive
Greenville Facial Plastic Surgery, LLC
NPI 1073224416 · Medical Specialty Clinic/Center · Greenville, SC
Provider details
- NPI number
- 1073224416
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Katherine Hicks, Physician/Owner(864) 990-4240
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
107 Mills Ave
Greenville, SC 29605-4017
Phone: (864) 990-4240
Approximate (ZIP-level) locationGet directions
Mailing address
37 Douglas Dr
Greenville, SC 29605-1207
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2022-12-07
- Certified
- 2022-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.