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Piedmont Plastic Surgery

Surgery, Plastic and Reconstructive Surgery in Greenwood, SC. Organization (NPI-2).

NPI number1255464376
StatusActive
Last updated in NPPESNov 13, 2008

Details

NPI
1255464376
Entity type
Organization (NPI-2)
Legal business name
Piedmont Plastic Surgery
Organization subpart
No
Enumeration date
Mar 14, 2007
Last updated
Nov 13, 2008

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0122X Surgery, Plastic and Reconstructive Surgery12007SCYes

Practice location

305a W Alexander Ave
Greenwood, SC 29646-4009

Phone 864-223-0505 · Fax 864-223-7075

Mailing address

305a W Alexander Ave
Greenwood, SC 29646-4009

Phone 864-223-0505 · Fax 864-223-7075

Authorized official

Ted R Vaughn
Surgeon
8642230505

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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