Organization
LOWCOUNTRY PLASTIC SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE HENSEL (OFFICE MANAGER)
(843) 971-2860
Entity
Organization
Contact information
Practice address
1205 TWO ISLAND CT, SUITE 203, MT PLEASANT, SC 29466-7406
(843) 971-2860
(843) 971-0660
Mailing address
1205 TWO ISLAND CT, SUITE 203, MT PLEASANT, SC 29466-7406
(843) 971-2860
(843) 971-0660
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
18370
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183704
—
SC
05
—
GP3224
—
SC
Enumeration date
12/06/2006
Last updated
01/08/2015
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