# PLASTIC SURGERY CONSULTANTS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PSC - Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548451214
- **Authorized official:** RICHARD J WASSERMANN MD, MPH, FACS (MEDICAL DIRECTOR)
- **Authorized official phone:** (803) 779-1200

## Contact information

- **Practice address:** 1220 BLANDING ST, COLUMBIA, SC 29201-2816
- **Practice address phone:** (803) 779-1200
- **Practice address fax:** (803) 779-1220
- **Mailing address:** 1220 BLANDING ST, COLUMBIA, SC 29201-2816
- **Mailing address phone:** (803) 779-1200
- **Mailing address fax:** (803) 779-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 19438 | SC | Yes |

## Other

- **Enumeration date:** 08/07/2007
- **Last updated:** 08/07/2007