| NPI | 1629352398 | 
|---|---|
| Doing Business As | THE BREAST PLACE | 
| Entity Type | Organization | 
| Authorized Contact | JENNIFER BEATTY Owner 843-797-1941 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 208600000X Surgery (Licence: SC DO910) | 
| Enumeration Date | 2011-09-29 | 
| Last Update Date | 2019-06-25 |