Port City Plastic Surgery, LLC
Port City Plastic Surgery, LLC provides Plastic and Reconstructive Surgery Physician services 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