Organization
SOUTHEASTERN FACIAL PLASTIC COSMETIC SURGERY CENTER, P.A.
Active
Other names
Southeastern Plastic Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA COSTA (BUSINESS MANAGER)
(843) 722-5904
Entity
Organization
Contact information
Practice address
247 CALHOUN ST, CHARLESTON, SC 29401-1306
(843) 722-5904
(843) 722-1564
Mailing address
247 CALHOUN ST, CHARLESTON, SC 29401-1306
(843) 722-5904
(843) 722-1564
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
SC
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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