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CHARLESTON PLASTIC SURGERY

Physicians - Surgery Plastic and Reconstructive Surgery

Charleston, South Carolina

Provider NPI: 1689601189

Organization Information:
Organization Name:  CHARLESTON PLASTIC SURGERY


Practice Location:
261 CALHOUN ST SUITE 200 CHARLESTON, SC 29401 US
Tel: 843-722-1985  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2086S0122XPhysicians
Surgery
Plastic and Reconstructive Surgery

Other Provider Identifiers:

IssuerNumberStateType
PA6840SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



RECONSTRUCTIVE SURGERY JOBS SC - Page 1



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