Port City Plastic Surgery, Llc

LBN: Port City Plastic Surgery, Llc
Port City Plastic Surgery, Llc is an health care organization with primary practice located at 2683 Lake Park Dr , North Charleston SC 29406-9100. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as the primary health care specialty. Port City Plastic Surgery, Llc can be contacted via phone (843) 518-5000, or through Widenhouse, Brian G via phone (843) 856-8398.

Contact Information

Primary practice address
2683 Lake Park Dr North Charleston SC 29406-9100
Phone: (843) 518-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Widenhouse, Brian G Doctor of Medicine (MD)
Phone: (843) 856-8398

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 200096 South Carolina

Profile Details

NPI number 1437385788
LBN Legal business name Port City Plastic Surgery, Llc
DBA Doing business as
Authorized official Widenhouse, Brian G Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2009
Last updated Mar 9th, 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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