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

Peninsula ENT and Plastic Surgery, LLC

Organization Specialist · NPI 1497735997

Peninsula ENT and Plastic Surgery, LLC is a Specialist in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Doughty St Ste 440
Charleston, SC 29403-5736
Phone: (843) 958-8877
Fax: (843) 958-8878
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 12840 (SC)

Record details

NPI number1497735997
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Natahsa Glencamp — Billing Specialist · (843) 958-8877
NPI enumeratedJanuary 19, 2006
Last updated in NPPESSeptember 26, 2007
Mailing address125 Doughty St, Suite 440, Charleston, SC 29403-5736

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