Grand Strand Plastic & Reconstructive Surgery Center Pa

LBN: Grand Strand Plastic & Reconstructive Surgery Center Pa
Grand Strand Plastic & Reconstructive Surgery Center Pa is an health care organization with primary practice located at 4610 Oleander Dr Suite 101, Myrtle Beach SC 29577-5752. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Grand Strand Plastic & Reconstructive Surgery Center Pa can be contacted via phone (843) 497-2227, or through Pierce, Lisa J via phone (843) 497-2227.

Contact Information

Primary practice address
4610 Oleander Dr Suite 101 Myrtle Beach SC 29577-5752
Phone: (843) 497-2227
Fax: (843) 449-9265
Website:
Map and Directions
Authorized official contact:
Name: Pierce, Lisa J
Phone: (843) 497-2227

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15346 South Carolina

Profile Details

NPI number 1619157294
LBN Legal business name Grand Strand Plastic & Reconstructive Surgery Center Pa
DBA Doing business as
Authorized official Pierce, Lisa J
Entity Organization
Organization subpart 1 No
Enumeration date Nov 12th, 2007
Last updated Sep 30th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619157294 NPPES
South Carolina MEDICAID 153461

Popular Providers