Charleston Facial Plastic Surgery Llc

NPI 1194144493 - Otolaryngology - 207YS0123X

NPI Details
NPI 1194144493
Enumeration Date 04/15/2014
Last Updated 04/15/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name DAVID WASTSON DAVID
Position OWNER
Phone (843) 882-7181
Fax
Practice Location
67 BROAD ST
SUITE 200
CHARLESTON SC, 29401-2936, US
Phone (843) 882-7181
Fax
Business Location
281 E SHORE LN
CHARLESTON SC, 29407-5656, US
Phone
Fax
Toxanomy
Taxonomy Code 207YS0123X
License State South Carolina
License Number TL36529
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According to our database, Charleston Facial Plastic Surgery Llc NPI is 1194144493, taxonomy code is 207YS0123X and license number is TL36529, license state is located at South Carolina. Charleston Facial Plastic Surgery Llc physically located at 67 Broad St, Charleston SC, 29401-2936. NPI Number 1033115704 has the healthcare provider type.

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1194144493 NPI number is provided on an as is basis without warranty of any kind. 1194144493 is maintained by the National Plan & Provider Enumeration System. The contents of Charleston Facial Plastic Surgery Llc are for informational purposes only.