Organization
PINNACLE PLASTIC SURGERY ASSOCIATES LLC
Active
Other names
Pinnacle Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUDREY ANNE KLENKE M.D. (OWNER)
(843) 815-6699
Entity
Organization
Contact information
Practice address
7 MALLETT WAY, BLUFFTON, SC 29910-6064
(843) 815-6699
(843) 815-6695
Mailing address
7 MALLETT WAY, BLUFFTON, SC 29910-6064
(843) 815-6699
(843) 815-6695
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355635
—
SC
Enumeration date
06/18/2013
Last updated
01/30/2020
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