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Grand Strand Plastic & Reconstructive Surgery Center Pa
Specialist in Myrtle Beach, South Carolina
NPI 1619157294

Grand Strand Plastic & Reconstructive Surgery Center Pa is a Specialist based in Myrtle Beach, SC. Grand Strand Plastic & Reconstructive Surgery Center Pa practices in Myrtle Beach, SC. The NPI Number for Grand Strand Plastic & Reconstructive Surgery Center Pa is 1619157294 and holds a License No. 15346 (South Carolina).

The current practice location address for Grand Strand Plastic & Reconstructive Surgery Center Pa is 4610 Oleander Dr, Myrtle Beach, SC and can be reached out via phone at 843-497-2227 and via fax at 843-449-9265.

Location: 4610 Oleander Dr, Myrtle Beach, SC, 29577-5752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619157294
Provider Name
Grand Strand Plastic & Reconstructive Surgery Center Pa
Credential
Provider Entity Type
Organization
Address
4610 Oleander Dr, Myrtle Beach, SC, 29577-5752
Phone Number
843-497-2227
Fax Number
843-449-9265
Provider Enumeration Date
11/12/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
153461 05 SC
institution
Provider Business Practice Location Address Details
Address
4610 Oleander Dr
City
Myrtle Beach
State
South Carolina
Zip
29577-5752
Phone Number
843-497-2227
Fax Number
843-449-9265
person
Provider Business Mailing Address Details
Address
4610 Oleander Dr
City
Myrtle Beach
State
South Carolina
Zip
29577-5752
Phone Number
843-497-2227
Fax Number
843-449-9265
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
15346 (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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