Palmetto Facial Surgery Center, Llc | |
1203 Two Island Ct Suite 102 Mt Pleasant SC 29466-7405 | |
(843) 849-5188 | |
(843) 849-5186 |
Full Name | Palmetto Facial Surgery Center, Llc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 1203 Two Island Ct, Mt Pleasant, South Carolina |
Authorized Official Name and Position | Carol A. Mcglame (INSURANCE COORDINATOR) |
Authorized Official Contact | 8438495188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Facial Surgery Center, Llc 1203 Two Island Ct Suite 102 Mt Pleasant SC 29466-7405 Ph: (843) 849-5188 | Palmetto Facial Surgery Center, Llc 1203 Two Island Ct Suite 102 Mt Pleasant SC 29466-7405 Ph: (843) 849-5188 |
NPI Number | 1992924534 |
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Provider Enumeration Date | 04/24/2007 |
Last Update Date | 06/30/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992924534 | NPI | - | NPPES |
ZA9641 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 3426 (South Carolina) | Primary |
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