SOUTHEASTERN FACIAL PLASTIC COSMETIC SURGERY CENTER P.A. NPI 1467620161

NPI Information

SOUTHEASTERN FACIAL PLASTIC COSMETIC SURGERY CENTER, P.A. is an ambulatory surgical clinic center in Charleston, SC. SOUTHEASTERN FACIAL PLASTIC COSMETIC SURGERY CENTER, P.A. NPI is 1467620161. The provider is registered as an organization entity type.
The provider Other Name Is Southeastern Plastic Surgery Center.

The provider's business location address is:

247 CALHOUN ST
CHARLESTON, SC
ZIP 29401-306
Phone: (843) 722-5904
Fax: (843) 722-1564

The provider's authorized official is Cynthia Costa .
The authorized official title is Business Manager and has the following contact phone number (843) 722-5904.

The CLIA number assigned to this NPI record is 42D2268035 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/15/2008 and was last updated on 2/15/2008.

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:

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