Organization · Type 2 NPI
Carolina Coastal Plastic and Reconstructive Surgery, Inc.
Plastic and Reconstructive Surgery Physician · Myrtle Beach, SC
NPI number
1003096058
Active
Practice location
1275 21st Ave N, Build #1
Myrtle Beach, SC 29577-7429
Fax (843) 626-7755
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | None listed |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
3 other providers at this address
Other plastic and reconstructive surgery physician providers in Myrtle Beach
About NPI 1003096058
Carolina Coastal Plastic and Reconstructive Surgery, Inc.'s National Provider Identifier is 1003096058, issued on Nov 7, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jun 22, 2015.