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

Waccamaw Plastic Surgery, LLC

Organization Dermatology Physician · NPI 1790406189

Waccamaw Plastic Surgery, LLC is a Dermatology Physician in Myrtle Beach, South Carolina. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3
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

917 Medical Cir
Myrtle Beach, SC 29572-4116
Phone: (843) 449-0453
Fax: (843) 449-9531
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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
Dermatology Physician Taxonomy 207N00000X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1790406189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brandon Coakley — Owner · (843) 449-0453
NPI enumeratedSeptember 6, 2022
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022
Mailing address917 Medical Cir, Myrtle Beach, SC 29572-4116

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