CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY INC. NPI 1003096058

NPI Information

CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC. is a plastic and reconstructive surgery surgery in Myrtle Beach, SC. The provider is a surgeon who specializes in plastic and reconstructive surgery. CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC. NPI is 1003096058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1275 21ST AVE N
BUILD #1
MYRTLE BEACH, SC
ZIP 29577-429
Phone: (843) 448-9977
Fax: (843) 626-7755

The provider's authorized official is Steven K White .
The authorized official title is Ceo/owner and has the following contact phone number (843) 448-9977.

The enumeration date for this NPI number is 11/7/2007 and was last updated on 6/22/2015.

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:

Other Identifiers

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