NPI 1790406189

Waccamaw Plastic Surgery, LLC

Organisation Plastic Surgery Physician Myrtle Beach, SC

Practice location

Address: 917 Medical Cir, Myrtle Beach, SC 29572-4116
Phone: (843) 449-0453
Fax: (843) 449-9531

Authorised official

Name: Brandon J Coakley
Title: Owner
Phone: (843) 449-0453

Registered specialties (3)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X

Other Plastic Surgery providers in South Carolina →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in South Carolina →

Procedural Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Registry record

NPI: 1790406189
Entity type: Organization
NPI issued: 6 Sep 2022
Record last updated: 6 Sep 2022

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.