Carolina Facial Plastic Surgery Pa in Florence - Facial Plastic Surgery

Carolina Facial Plastic Surgery Pa - NPI 1679594261

Carolina Facial Plastic Surgery Pa is a Facial Plastic Surgery in Florence, South Carolina. Carolina Facial Plastic Surgery Pa practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Carolina Facial Plastic Surgery Pa is 1679594261. The last update date is 2020-01-21.

Carolina Facial Plastic Surgery Pa's current location address is 1714 Gregg Ave, Florence, South Carolina. You can contact this provider via phone number 8436650400 and fax number 8436678487. The mailing address for Carolina Facial Plastic Surgery Pa is 1714 Gregg Ave, Florence, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Carolina Facial Plastic Surgery Pa
Address 1714 Gregg Ave, Florence, South Carolina
Phone Number 8436650400
Fax Number 8436678487
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRACTICE O
Authorized Official Name Graham Camille Carla
Credentials MD
Telephone Number 8436650400

NPI Number Detail

NPI Number 1679594261
Provider Enumeration Date 2006-07-21
Last Updated Date 2020-01-21

Provider Mailing Address Detail

Address 1714 Gregg Ave
City Florence
State South Carolina (SC)
Post Code 295014120
Phone Number 8436650400
Fax Number 8436678487

Provider's Primary Taxonomy Detail

Speciality Facial Plastic Surgery
Taxonomy 207Ys0123X
Licence No 16126
Definition:
An otolaryngologist who specializes in facial plastic surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GP2827 SC --

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FAQs about Carolina Facial Plastic Surgery Pa

What is the unique 10-digit identifier code issued to Carolina Facial Plastic Surgery Pa by the Centers for Medicare & Medicaid Services?

The Carolina Facial Plastic Surgery Pa has been assigned the NPI (National Provider Identifier) 1679594261 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Carolina Facial Plastic Surgery Pa located?

The Carolina Facial Plastic Surgery Pa is located at 1714 Gregg Ave, Florence, SC 295014120.

What is Carolina Facial Plastic Surgery Pa's specialized field of practice, and what is the corresponding taxonomy classification code?

The Carolina Facial Plastic Surgery Pa's area of specialization is Facial Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Ys0123X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679594261 to Carolina Facial Plastic Surgery Pa?

The Centers for Medicare & Medicaid Services originally issued the 1679594261 to Carolina Facial Plastic Surgery Pa on 2006-07-21.

When was the information regarding Carolina Facial Plastic Surgery Pa most recently updated?

The details pertaining to the Carolina Facial Plastic Surgery Pa, including its address, specialty, and other relevant information, were last refreshed on 2020-01-21.

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