Organization
PALMETTO FACIAL SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL A. MCGLAME (INSURANCE COORDINATOR)
(843) 849-5188
Entity
Organization
Contact information
Practice address
1203 TWO ISLAND CT, SUITE 102, MT PLEASANT, SC 29466-7405
(843) 849-5188
(843) 849-5186
Mailing address
1203 TWO ISLAND CT, SUITE 102, MT PLEASANT, SC 29466-7405
(843) 849-5188
(843) 849-5186
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3426
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9641
—
SC
Enumeration date
04/24/2007
Last updated
06/30/2008
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