Organization
CENTER FOR PLASTIC SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER C HAINES M.D. (PRESIDENT)
(803) 732-5788
Entity
Organization
Contact information
Practice address
7033 SAINT ANDREWS RD, SUITE 204, COLUMBIA, SC 29212-1179
(803) 732-5788
(803) 932-9618
Mailing address
P.O. BOX 11226, COLUMBIA, SC 29211-1226
(803) 732-5788
(803) 932-9618
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
13063
SC
Other
Enumeration date
09/13/2007
Last updated
11/16/2007
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