institution
Peninsula Ent And Plastic Surgery, Llc
Specialist in Charleston, South Carolina
NPI 1497735997

Peninsula Ent And Plastic Surgery, Llc is a Specialist based in Charleston, SC. Peninsula Ent And Plastic Surgery, Llc practices in Charleston, SC. The NPI Number for Peninsula Ent And Plastic Surgery, Llc is 1497735997 and holds a License No. 12840 (South Carolina).

The current practice location address for Peninsula Ent And Plastic Surgery, Llc is 125 Doughty St, Charleston, SC and can be reached out via phone at 843-958-8877 and via fax at 843-958-8878.

Location: 125 Doughty St, Charleston, SC, 29403-5736
institution
Provider Profile Details
NPI Number
1497735997
Provider Name
Peninsula Ent And Plastic Surgery, Llc
Credential
Provider Entity Type
Organization
Address
125 Doughty St, Charleston, SC, 29403-5736
Phone Number
843-958-8877
Fax Number
843-958-8878
Provider Enumeration Date
01/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
128409 05 SC
institution
Provider Business Practice Location Address Details
Address
125 Doughty St
City
State
Zip
29403-5736
Phone Number
843-958-8877
Fax Number
843-958-8878
person
Provider Business Mailing Address Details
Address
125 Doughty St
City
State
Zip
29403-5736
Phone Number
843-958-8877
Fax Number
843-958-8878
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
12840 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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