Organization
CAROLINA AESTHETIC PLASTIC SURGERY INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA CHRISTMAS (OFFICE MANAGER DIRECTOR)
(843) 884-1400
Entity
Organization
Contact information
Practice address
180 WINGO WAY, SUITE 205, MT PLEASANT, SC 29464-1810
(843) 884-1400
(843) 884-7448
Mailing address
180 WINGO WAY, SUITE 205, MT PLEASANT, SC 29464-1810
(843) 884-1400
(843) 884-7448
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3944
—
SC
Enumeration date
05/09/2006
Last updated
07/16/2013
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