Organization · Type 2 NPI

The Breast Place LLC

Surgery Physician · North Charleston, SC

NPI number 1629352398 Active

Practice location

4975 Lacross Rd Ste 110
North Charleston, SC 29406

Fax (843) 574-1698

Other practice locations

  • 2910 Tricom St, Suite 201, North Charleston, SC 29406-9350 · (843) 797-1941

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000XDO910 (SC)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

7 other providers at this address

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About NPI 1629352398

The Breast Place LLC's National Provider Identifier is 1629352398, issued on Sep 29, 2011. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in North Charleston, SC. The record was last updated on Jun 25, 2019.