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

Grand Strand Plastic & Reconstructive Surgery Center PA

Organization Specialist · NPI 1619157294

Grand Strand Plastic & Reconstructive Surgery Center PA is a Specialist in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4610 Oleander Dr Ste 101
Myrtle Beach, SC 29577-5752
Phone: (843) 497-2227
Fax: (843) 449-9265
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 15346 (SC)

Record details

NPI number1619157294
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGrand Strand Plastic and Reconstructive Surgery Center, PA
Authorized official Kimberley Goh — President · (843) 497-2227
Other names Grand Strand Plastic Surgery; Grand Strand Plastic And Reconstructive Surgery Center, P.A.
NPI enumeratedNovember 12, 2007
Last updated in NPPESMarch 2, 2025
Certification dateMarch 2, 2025
Mailing address4610 Oleander Dr, Suite 101, Myrtle Beach, SC 29577-5752

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