Peninsula Ent And Plastic Surgery, Llc

LBN: Peninsula Ent And Plastic Surgery, Llc
Peninsula Ent And Plastic Surgery, Llc is an health care organization with primary practice located at 125 Doughty St Suite 440, Charleston SC 29403-5736. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Peninsula Ent And Plastic Surgery, Llc can be contacted via phone (843) 958-8877, or through Glencamp, Natahsa F via phone (843) 958-8877.

Contact Information

Primary practice address
125 Doughty St Suite 440 Charleston SC 29403-5736
Fax: (843) 958-8878
Website:
Authorized official contact:
Name: Glencamp, Natahsa F

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12840 South Carolina

Profile Details

NPI number 1497735997
LBN Legal business name Peninsula Ent And Plastic Surgery, Llc
DBA Doing business as
Authorized official Glencamp, Natahsa F
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2006
Last updated Sep 26th, 2007 - about 18 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 1497735997 NPPES
South Carolina MEDICAID 128409

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