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CAROLINA AESTHETIC PLASTIC SURGERY INSTITUTE PA NPI 1093764789


NPI Information

NPI: 1093764789
Provider Name: CAROLINA AESTHETIC PLASTIC SURGERY INSTITUTE PA
Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
180 WINGO WAY
SUITE 205
MT PLEASANT, SC
ZIP 29464
Phone: (843) 884-1400
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CAROLINA AESTHETIC PLASTIC SURGERY INSTITUTE PA is a plastic and reconstructive surgery surgery in Mt Pleasant, SC. The provider is a surgeon who specializes in plastic and reconstructive surgery. CAROLINA AESTHETIC PLASTIC SURGERY INSTITUTE PA NPI is 1093764789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 WINGO WAY
SUITE 205
MT PLEASANT, SC
ZIP 29464-810
Phone: (843) 884-1400
Fax: (843) 884-7448

The provider's authorized official is Kendra Christmas .
The authorized official title is Office Manager Director and has the following contact phone number (843) 884-1400.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 7/16/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0122XSurgeryPlastic and Reconstructive SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17941MEDICARE PINSOUTH CAROLINA
2GP3944MEDICAIDSOUTH CAROLINA
3I04633MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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