Carolina Facial Plastic Surgery Pa

LBN: Carolina Facial Plastic Surgery Pa
Carolina Facial Plastic Surgery Pa is an health care organization with primary practice located at 1714 Gregg Ave , Florence SC 29501-4120. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Facial Plastic Surgery, which is considered as the primary health care specialty. Carolina Facial Plastic Surgery Pa can be contacted via phone (843) 665-0400, or through Graham, Carla Camille via phone (843) 665-0400.

Contact Information

Primary practice address
1714 Gregg Ave Florence SC 29501-4120
Phone: (843) 665-0400
Fax: (843) 667-8487
Website:
Map and Directions
Authorized official contact:
Name: Graham, Carla Camille Doctor of Medicine (MD)
Phone: (843) 665-0400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 16126 South Carolina

Profile Details

NPI number 1679594261
LBN Legal business name Carolina Facial Plastic Surgery Pa
DBA Doing business as
Authorized official Graham, Carla Camille Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Jan 21st, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679594261 NPPES
South Carolina MEDICAID GP2827

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