| NPI | 1912094129 |
|---|---|
| Doing Business As | COOLIDGE PLASTIC SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | CAROL ANN COOLIDGE President 843-208-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2008-07-10 |