Organization · Type 2 NPI

Roper Saint Francis Physicians Network

Plastic and Reconstructive Surgery Physician · Charleston, SC

NPI number 1194608240 Active

Practice location

125 Doughty St Ste 280
Charleston, SC 29403-5727

Fax (843) 402-1768

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XNone listed
Plastic and Reconstructive Surgery Physician Primary 2086S0122XNone listed

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1194608240

Roper Saint Francis Physicians Network's National Provider Identifier is 1194608240, issued on Jul 28, 2025. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Charleston, SC. The record was last updated on Jul 28, 2025.