1. Home
  2. Directory
  3. South Carolina
  4. Myrtle Beach
  5. Surgery
  6. NPI Profile

CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
NPI 1003096058
Surgery - Plastic and Reconstructive Surgery in Myrtle Beach, SC

Active since November 07, 2007
1275 21ST AVE N, BUILD #1, MYRTLE BEACH, SC 29577(843) 448-9977(843) 626-7755 Get Directions Write a Review

NPPES record last updated: June 22, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolina Coastal Plastic And Reconstructive Surgery, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC. (NPI 1003096058) is a healthcare organization registered as a plastic and reconstructive surgery in Myrtle Beach, South Carolina and active in the NPI registry since November 2007. The organization lists Steven K White, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1003096058
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameCAROLINA COASTAL PLASTIC AND RECONSTRUCTIVE SURGERY, INC.
Location Address1275 21ST AVE N, BUILD #1Myrtle Beach, SC 29577-7429
Mailing Address1275 21st Ave N, Build # 1Myrtle Beach, SC 29577-7429 · (843) 448-9977 · Fax (843) 626-7755
Phone(843) 448-9977
Fax(843) 626-7755
Organization SubpartNo
Authorized OfficialSteven K WhiteCeo/owner · (843) 448-9977
Enumeration DateNovember 7, 2007
Last NPPES UpdateJune 22, 2015
✔ NPI 1003096058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1275 21ST AVE N, Myrtle Beach, SC 29577
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE13723SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JODI KINKEAD
Specialist
1275 21ST AVE N
MYRTLE BEACH, SC 29577
Horry County (843) 448-9977
STEVEN K WHITE MD
Surgery (Plastic and Reconstructive Surgery)
1275 21ST AVE N
MYRTLE BEACH, SC 29577
Horry County (843) 448-9977
CAROLINA COASTAL FAMILY MEDICINE PA
Clinic/Center (Primary Care)
1275 21ST AVE N, BUILDING 2
MYRTLE BEACH, SC 29577
Horry County (843) 626-2847

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carolina Coastal Plastic And Reconstructive Surgery, Inc.'s NPI number?

The NPI number for Carolina Coastal Plastic And Reconstructive Surgery, Inc. is 1003096058. It was assigned to this organization in the NPPES registry on November 7, 2007.

Where is Carolina Coastal Plastic And Reconstructive Surgery, Inc. located?

Carolina Coastal Plastic And Reconstructive Surgery, Inc. is located at 1275 21st Ave N Build #1, Myrtle Beach, SC 29577. The listed phone number is (843) 448-9977.

What is Carolina Coastal Plastic And Reconstructive Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Carolina Coastal Plastic And Reconstructive Surgery, Inc. was last updated on June 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.