The Breast Place LLC
NPI #1629352398 in North Charleston, South Carolina
Provider Information
- NPI Number
- 1629352398
- Entity Type
- Organization
- Organization Name
- The Breast Place LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Sep 29, 2011
- Last Updated
- Jun 25, 2019
Practice Location
- Address
- 4975 LACROSS RD STE 110
- City
- North Charleston
- State
- South Carolina
- ZIP Code
- 29406
- Phone
- (843) 797-1941
Authorized Official
- Name
- DR. JENNIFER BEATTY, DO
- Title
- OWNER
- Phone
- (843) 797-1941
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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