Organization
DUNES COSMETIC SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH F COZART MD (MD)
(843) 839-9202
Entity
Organization
Contact information
Practice address
1021 CIPRIANA DR, STE 230, MYRTLE BEACH, SC 29572-4621
(843) 839-9202
Mailing address
4728 JENN DR, STE 106, MYRTLE BEACH, SC 29577-0000
(843) 839-9202
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19982
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3891
—
SC
Enumeration date
01/17/2006
Last updated
08/27/2008
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