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 provides Specialist services 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 Not confirmed with CMS for 19 years — call before visiting
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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