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Organization

COLUMBIA PLASTIC SURGERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES BRETT CARLIN M.D. (OWNER)
(803) 926-0969
Entity
Organization

Contact information

Practice address
3634 SUNSET BLVD, SUITE C, WEST COLUMBIA, SC 29169
(803) 926-0969
(803) 926-0757
Mailing address
3634 SUNSET BLVD, SUITE C, WEST COLUMBIA, SC 29169

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
04/23/2024
Last updated
04/23/2024
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