Organization
THE BREAST PLACE LLC
Active
Other names
THE BREAST PLACE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER BEATTY DO (OWNER)
(843) 797-1941
Entity
Organization
Contact information
Practice address
4975 LACROSS RD STE 110, NORTH CHARLESTON, SC 29406
(843) 797-1941
(843) 574-1698
Mailing address
4975 LACROSS RD STE 110, NORTH CHARLESTON, SC 29406-6531
(843) 797-1941
(843) 574-1698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO910
SC
Other
Enumeration date
09/29/2011
Last updated
06/25/2019
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