Cordray Plastic Surgery Llc

LBN: Cordray Plastic Surgery Llc
Cordray Plastic Surgery Llc is an health care organization with primary practice located at 44 Folly Road Blvd Ste C , Charleston SC 29407-7559. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as the primary health care specialty. Cordray Plastic Surgery Llc can be contacted via phone (843) 718-2334, or through Cordray, Tracy L via phone (843) 718-2334.

Contact Information

Primary practice address
44 Folly Road Blvd Ste C Charleston SC 29407-7559
Phone: (843) 718-2334
Fax: (843) 277-2067
Website:
Map and Directions
Authorized official contact:
Name: Cordray, Tracy L Doctor of Medicine (MD)
Phone: (843) 718-2334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 22185 South Carolina

Profile Details

NPI number 1225577265
LBN Legal business name Cordray Plastic Surgery Llc
DBA Doing business as
Authorized official Cordray, Tracy L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2017
Last updated Feb 22nd, 2017 - about 8 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 1225577265 NPPES
South Carolina MEDICAID 30236309
South Carolina Other 1346432614
South Carolina Other 22185

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