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Organization
CAROLINA FACE AND BODY
Active
Organization
CAROLINA FACE AND BODY
Active
Other names
Southern Grace Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA HUMENANSKY DO (CHIEF MEDICAL OFFICER)
(803) 212-5288
Entity
Organization
Contact information
Practice address
927 CHAPIN RD, CHAPIN, SC 29036-8875
(803) 212-5288
Mailing address
1174 PUTNAM DR, CHAPIN, SC 29036-9785
(803) 212-5288
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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