Organization · Type 2 NPI

Peninsula Ent and Plastic Surgery, LLC

Specialist · Charleston, SC

NPI number 1497735997 Active

Practice location

125 Doughty St, Suite 440
Charleston, SC 29403-5736

Call (843) 958-8877 Map

Fax (843) 958-8878

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X12840 (SC)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1497735997

Peninsula Ent and Plastic Surgery, LLC's National Provider Identifier is 1497735997, issued on Jan 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Charleston, SC. The record was last updated on Sep 26, 2007.