Port City Plastic Surgery, LLC
NPI #1437385788 in North Charleston, South Carolina
Provider Information
- NPI Number
- 1437385788
- Entity Type
- Organization
- Organization Name
- Port City Plastic Surgery, LLC
- Primary Specialty
- Surgery - Plastic and Reconstructive Surgery
- Enumeration Date
- Jun 1, 2009
- Last Updated
- Mar 9, 2017
Practice Location
- Address
- 2683 LAKE PARK DR
- City
- North Charleston
- State
- South Carolina
- ZIP Code
- 29406-9100
- Phone
- (843) 518-5000
Authorized Official
- Name
- DR. BRIAN G WIDENHOUSE, M.D.
- Title
- OWNER
- Phone
- (843) 856-8398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Plastic and Reconstructive Surgery — Plastic and Reconstructive Surgery |
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