Organization
SEACOAST ENT & FACIAL PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID PETERS M.D. (PRESIDENT)
(843) 390-4200
Entity
Organization
Contact information
Practice address
4000 HIGHWAY 9 E, SUITE 270, LITTLE RIVER, SC 29566-7833
(843) 390-4200
Mailing address
4000 HIGHWAY 9 E, SUITE 270, LITTLE RIVER, SC 29566-7833
(843) 390-4200
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
28577
SC
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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