| NPI | 1467620161 |
|---|---|
| Other Name | SOUTHEASTERN PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA COSTA Business Manager 843-722-5904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |