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GRAND STRAND PLASTIC & RECONSTRUCTIVE SURGERY CENTER PA
NPI 1619157294
Specialist in Myrtle Beach, SC

Active since November 12, 2007
4610 OLEANDER DR, SUITE 101, MYRTLE BEACH, SC 29577(843) 497-2227(843) 449-9265 Get Directions Write a Review

NPPES record last updated: March 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Strand Plastic & Reconstructive Surgery Center Pa NPPES

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

GRAND STRAND PLASTIC & RECONSTRUCTIVE SURGERY CENTER PA (NPI 1619157294), doing business as Grand Strand Plastic Surgery, is a healthcare organization registered as a specialist in Myrtle Beach, South Carolina and active in the NPI registry since November 2007. The organization lists Kimberley B Goh, President, as its authorized official.

NPPES Registry Identity

NPI1619157294
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGRAND STRAND PLASTIC & RECONSTRUCTIVE SURGERY CENTER PA
Location Address4610 OLEANDER DR, SUITE 101Myrtle Beach, SC 29577-5752
Mailing Address4610 Oleander Dr, Suite 101Myrtle Beach, SC 29577-5752 · (843) 497-2227 · Fax (843) 449-9265
Phone(843) 497-2227
Fax(843) 449-9265
Organization SubpartYesParent: Grand Strand Plastic And Reconstructive Surgery Center, P.a.
Authorized OfficialKimberley B GohPresident · (843) 497-2227
Enumeration DateNovember 12, 2007
Last NPPES UpdateMarch 2, 2025
NPPES CertifiedMarch 2, 2025
✔ NPI 1619157294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in SC · 15346
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4610 OLEANDER DR, Myrtle Beach, SC 29577
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Other Names 2

Doing Business AsGrand Strand Plastic Surgery
Doing Business AsGrand Strand Plastic And Reconstructive Surgery Center, P.a.

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 4

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

DR. ROBERT SPANN MERRITT DMD
Dentist
4610 OLEANDER DR, SUITE103
MYRTLE BEACH, SC 29577
Horry County (843) 449-7114
DR. DARYL HUFFMAN DMD
Dentist (Periodontics)
4610 OLEANDER DR, SUITE102
MYRTLE BEACH, SC 29577
Horry County (843) 449-7491
OLEANDER FAMILY AND COSMETIC DENTISTRY, LLC
Dentist (General Practice)
4610 OLEANDER DR, SUITE 103
MYRTLE BEACH, SC 29577
Horry County (843) 449-7114
ROBERT S. MERRITT DMD PC
Dentist
4610 OLEANDER DR, SUITE 103
MYRTLE BEACH, SC 29577
Horry County (843) 449-7114

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 Grand Strand Plastic & Reconstructive Surgery Center PA's NPI number?

The NPI number for Grand Strand Plastic & Reconstructive Surgery Center PA is 1619157294. It was assigned to this organization in the NPPES registry on November 12, 2007. The provider is doing business as Grand Strand Plastic Surgery and Grand Strand Plastic and Reconstructive Surgery Center, P.A..

Where is Grand Strand Plastic & Reconstructive Surgery Center PA located?

Grand Strand Plastic & Reconstructive Surgery Center PA is located at 4610 Oleander Dr Suite 101, Myrtle Beach, SC 29577. The listed phone number is (843) 497-2227.

What is Grand Strand Plastic & Reconstructive Surgery Center PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Grand Strand Plastic & Reconstructive Surgery Center PA was last updated on March 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.