Organization
JOLIE VISAGE REJUVENATION CENTRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY SILBER MD (MEDICAL DIRECTOR)
(843) 357-0010
Entity
Organization
Contact information
Practice address
804 INLET SQUARE DR UNIT D, MURRELLS INLET, SC 29576-7874
(843) 357-0010
Mailing address
804 INLET SQUARE DR UNIT D, MURRELLS INLET, SC 29576-7874
(843) 357-0010
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1326
—
SC
Enumeration date
04/06/2022
Last updated
04/06/2022
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