Nirvana Plastic Surgery, P.a.

NPI 1023245966 - Plastic Surgery - 208200000X

NPI Details
NPI 1023245966
Enumeration Date 06/18/2009
Last Updated 08/12/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name STEPHEN DAVID STEPHEN
Position PRESIDENT
Phone (646) 528-8202
Fax (843) 839-2011
Practice Location
1331 44TH AVE N
SUITE 101
MYRTLE BEACH SC, 29577-5972, US
Phone (646) 528-8202
Fax (843) 839-2011
Business Location
1331 44TH AVE N
SUITE 101
MYRTLE BEACH SC, 29577-5972, US
Phone (843) 839-2004
Fax (843) 839-2011
Toxanomy
Taxonomy Code 208200000X
License State South Carolina
License Number 31460
Remove 1023245966 NPI Number
 

According to our database, Nirvana Plastic Surgery, P.a. NPI is 1023245966, taxonomy code is 208200000X and license number is 31460, license state is located at South Carolina. Nirvana Plastic Surgery, P.a. physically located at 1331 44th Ave N, Myrtle Beach SC, 29577-5972. NPI Number 1033115704 has the healthcare provider type.

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1023245966 NPI number is provided on an as is basis without warranty of any kind. 1023245966 is maintained by the National Plan & Provider Enumeration System. The contents of Nirvana Plastic Surgery, P.a. are for informational purposes only.