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

Carolina Coastal Plastic and Reconstructive Surgery, Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1003096058

Carolina Coastal Plastic and Reconstructive Surgery, Inc provides Plastic and Reconstructive Surgery Physician services in Myrtle Beach, South Carolina. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1275 21st Ave N Build #1
Myrtle Beach, SC 29577-7429 Not confirmed with CMS for 11 years — call before visiting
Phone: (843) 448-9977
Fax: (843) 626-7755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1003096058
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven White — Ceo/Owner · (843) 448-9977
NPI enumeratedNovember 7, 2007
Last updated in NPPESJune 22, 2015
Mailing address1275 21st Ave N, Build # 1, Myrtle Beach, SC 29577-7429

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