Organization · Type 2 NPI
Charleston Facial Plastic Surgery LLC
Facial Plastic Surgery Physician · Charleston, SC
NPI number
1194144493
Active
Practice location
67 Broad St, Suite 200
Charleston, SC 29401-2936
Mailing address
281 E Shore Ln
Charleston, SC 29407-5656
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Facial Plastic Surgery Physician Primary | 207YS0123X | TL36529 (SC) |
Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.
Another provider at this address
About NPI 1194144493
Charleston Facial Plastic Surgery LLC's National Provider Identifier is 1194144493, issued on Apr 15, 2014. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Charleston, SC. The record was last updated on Apr 15, 2014.