# VIP COSMETIC SURGERY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043846595
- **Authorized official:** MELISSA NICHOLS (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (843) 705-1515

## Contact information

- **Practice address:** 10 WILLIAM POPE DR STE 4, BLUFFTON, SC 29909-7550
- **Practice address phone:** (843) 705-1515
- **Practice address fax:** (843) 705-1512
- **Mailing address:** 10 WILLIAM POPE DR STE 4, BLUFFTON, SC 29909-7550
- **Mailing address phone:** (843) 705-1515
- **Mailing address fax:** (843) 705-1512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/17/2020
- **Last updated:** 06/15/2022