# SEACOAST ENT & FACIAL PLASTIC SURGERY, PA

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

## Provider details

- **NPI number:** 1386698165
- **Authorized official:** MR. MICHAEL DAVID PETERS M.D. (PRESIDENT)
- **Authorized official phone:** (843) 390-4200

## Contact information

- **Practice address:** 4000 HIGHWAY 9 E, SUITE 270, LITTLE RIVER, SC 29566-7833
- **Practice address phone:** (843) 390-4200
- **Mailing address:** 4000 HIGHWAY 9 E, SUITE 270, LITTLE RIVER, SC 29566-7833
- **Mailing address phone:** (843) 390-4200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0123X | Facial Plastic Surgery Physician | 28577 | SC | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020