Myrtle Beach Plastic Surgery Specialistts,LLC
Organization Active NPI Specialist · Myrtle Beach, SC
NPI 1366748485 · NPPES record last updated Feb 8, 2011
Key facts
- NPI
- 1366748485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- SC19982 (SC)
- Legal business name
- MYRTLE BEACH PLASTIC SURGERY SPECIALISTTS,LLC
- Practice address
- 1021 Cipriana Dr
Suite 230
Myrtle Beach, SC 29572-4621 - Phone
- (843) 497-7771
- Fax
- (843) 497-7775
- NPI assigned
- Feb 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Marla L Jones, RN
- Title
- Managing Partner
- Phone
- (843) 497-7771
Practitioners 1
-
Marla L Jones, RN
National Provider Directory
Locations
1021 Cipriana Dr
Ste 230
Myrtle Beach, SC 29572
Phone (843) 497-7771
1021 Cipriana Dr
Ste 200
Myrtle Beach, SC 29572
Phone (843) 497-0181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | SC19982 | SC | Yes |
Addresses
Primary practice location
1021 Cipriana Dr
Suite 230
Myrtle Beach, SC 29572-4621
Mailing address
PO Box 70667
Myrtle Beach, SC 29572-0030
Phone (843) 497-7771
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.