Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Coastal Plastic and Reconstructive Surgery, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1003096058

Carolina Coastal Plastic and Reconstructive Surgery, Inc is a Plastic and Reconstructive Surgery Physician in Myrtle Beach, South Carolina. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1275 21st Ave N Build #1
Myrtle Beach, SC 29577-7429
Phone: (843) 448-9977
Fax: (843) 626-7755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1003096058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven White — Ceo/Owner · (843) 448-9977
NPI enumeratedNovember 7, 2007
Last updated in NPPESJune 22, 2015
Mailing address1275 21st Ave N, Build # 1, Myrtle Beach, SC 29577-7429

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