WACCAMAW PLASTIC SURGERY, LLC - NPI 1790406189 - Plastic Surgery in Myrtle Beach, SC

Q: What is Waccamaw Plastic Surgery, LLC's NPI number?

The NPI number for Waccamaw Plastic Surgery, LLC is 1790406189. It was assigned to this organization in the NPPES registry on September 6, 2022.

Q: What is Waccamaw Plastic Surgery, LLC's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

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About Waccamaw Plastic Surgery, Llc NPPES

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

WACCAMAW PLASTIC SURGERY, LLC (NPI 1790406189) is a healthcare organization registered as a plastic surgery in Myrtle Beach, South Carolina and active in the NPI registry since September 2022. The organization lists Brandon J Coakley, Owner, as its authorized official.

NPPES Registry Identity

NPI1790406189

Entity TypeOrganization

Primary Taxonomy208200000X

Legal Business NameWACCAMAW PLASTIC SURGERY, LLC

Location Address917 MEDICAL CIRMyrtle Beach, SC 29572-4116

Mailing Address917 Medical CirMyrtle Beach, SC 29572-4116 · (843) 449-0453 · Fax (843) 449-9531

Phone(843) 449-0453

Fax(843) 449-9531

Organization SubpartNo

Authorized OfficialBrandon J CoakleyOwner · (843) 449-0453

Enumeration DateSeptember 6, 2022

NPPES CertifiedSeptember 6, 2022

✔ NPI 1790406189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedDermatologyTaxonomy 207N00000X

Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X

917 MEDICAL CIR, Myrtle Beach, SC 29572

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 8

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

MISTY DANELLE POLSTON WHIPKEY NP

Dermatology