NPI 1679594261

Carolina Facial Plastic Surgery PA

Organisation Facial Plastic Surgery Physician Florence, SC

Practice location

Address: 1714 Gregg Ave, Florence, SC 29501-4120
Phone: (843) 665-0400
Fax: (843) 667-8487

Authorised official

Name: Carla Camille Graham
Title: Practice Owner
Phone: (843) 665-0400

Registered specialties

Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YS0123X Licence 16126 (SC)

Other Otolaryngology providers in South Carolina →

Registry record

NPI: 1679594261
Entity type: Organization
NPI issued: 21 Jul 2006
Record last updated: 21 Jan 2020

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.