Organization
CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN K WHITE SR. M.D (CEO/OWNER)
(843) 448-9977
Entity
Organization
Contact information
Practice address
1275 21ST AVE N, BUILD #1, MYRTLE BEACH, SC 29577-7429
(843) 448-9977
(843) 626-7755
Mailing address
1275 21ST AVE N, BUILD # 1, MYRTLE BEACH, SC 29577-7429
(843) 448-9977
(843) 626-7755
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Enumeration date
11/07/2007
Last updated
06/22/2015
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