NPI 1003096058

Carolina Coastal Plastic and Reconstructive Surgery, INC.

Organisation Plastic and Reconstructive Surgery Physician Myrtle Beach, SC

Practice location

Address: 1275 21st Ave N Build #1, Myrtle Beach, SC 29577-7429
Phone: (843) 448-9977
Fax: (843) 626-7755
Mailing address: 1275 21st Ave N Build # 1, Myrtle Beach, SC 29577-7429

Authorised official

Name: Steven K White
Title: Ceo/Owner
Phone: (843) 448-9977

Registered specialties

Plastic and Reconstructive Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0122X

Other Surgery providers in South Carolina →

Registry record

NPI: 1003096058
Entity type: Organization
NPI issued: 7 Nov 2007
Record last updated: 22 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.