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

Nirvana Plastic Surgery, PA

Organization Plastic Surgery Physician · NPI 1023245966

Nirvana Plastic Surgery, PA is a Plastic Surgery Physician in Myrtle Beach, South Carolina. Licensed in South Carolina. Registered with an NPI since 2009.

Licensed in
SC
In the registry since
2009
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

8208A Devon Ct
Myrtle Beach, SC 29572-4178
Phone: (843) 839-2004
Fax: (843) 839-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 31460 (SC)

Record details

NPI number1023245966
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stephen Duffy — President · (843) 839-2004
NPI enumeratedJune 18, 2009
Last updated in NPPESJanuary 18, 2017
Mailing address8208a Devon Ct, Myrtle Beach, SC 29572-4178

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