Port City Plastic Surgery, LLC
Port City Plastic Surgery, LLC is a Plastic and Reconstructive Surgery Physician in North Charleston, 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?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2683 Lake Park DrNorth Charleston, SC 29406-9100
Phone: (843) 518-5000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence 200096 (SC) |
|---|
Record details
| NPI number | 1437385788 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Brian Widenhouse — Owner · (843) 856-8398 |
| NPI enumerated | June 1, 2009 |
| Last updated in NPPES | March 9, 2017 |
| Mailing address | 43 Woodford St, Daniel Island, SC 29492-7964 |
Other providers in North Charleston
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Brian Glenn Widenhouse, MD
2683 Lake Park Dr, North Charleston, SC 29406-9100 · (843) 518-5000