NPI 1427815547

Revive Palmetto LLC

Organisation Plastic Surgery Physician Bluffton, SC

Practice location

Address: 206 Bluffton Rd Fl 2, Bluffton, SC 29910-6213
Phone: (843) 575-3308
Fax: (502) 324-4035
Mailing address: 112 Mainland Lakes Dr, Bluffton, SC 29910-4562

Authorised official

Name: Jarrod Alexander Little
Title: Owner
Phone: (843) 575-3308

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in South Carolina →

Registry record

NPI: 1427815547
Entity type: Organization
NPI issued: 5 Mar 2024
Record last updated: 5 Mar 2024

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.