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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LILY KNIGHT FATULA, MD

Active Sole Proprietor

LILY KNIGHT FATULA, MD is a Plastic and Reconstructive Surgery healthcare provider located in FLORENCE, South Carolina. NPI 1609305648 is currently active in the NPPES registry. Verify at CMS.

Plastic and Reconstructive Surgery · FLORENCE, SC

Registration Details

NPI Number
1609305648
Provider Type
Individual
Gender
Female
NPI Issued
Jun 5, 2017 (9.201426027452 yrs)
Last Updated
Oct 29, 2025
Licenses
51145 (SC)
67700 (TN)
Sole Proprietor
Yes

Practice Information

Address
401 E CHEVES ST STE 302
FLORENCE, SC, 295062615
Browse SC providers · Browse ZIP 29506
Phone
8437777255
Primary Specialty
Plastic and Reconstructive Surgery
2086S0122X

Other Plastic and Reconstructive Surgery Providers in FLORENCE, SC

Name Credential NPI
GERALD FOSTER CONNER MD 1396707253
MR. JOE ASA GRIFFIN III MD 1306894738
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.