Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Riverside Plastic Surgery LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1255766788

Riverside Plastic Surgery LLC is a Plastic and Reconstructive Surgery Physician in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2013.

Licensed in
SC
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

24 Memorial Medical Dr
Greenville, SC 29605
Phone: (864) 697-2009
Fax: (864) 697-2009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 36140 (SC)

Record details

NPI number1255766788
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brent Moister — Owner · (864) 697-2009
NPI enumeratedSeptember 3, 2013
Last updated in NPPESJuly 18, 2018
Mailing address24 Memorial Medical Dr Ste 106-102, Greenville, SC 29605-4452

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