WACCAMAW PLASTIC SURGERY, LLC – NPI #1790406189
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Health Care Provider Taxonomy Code for Plastic Surgery

WACCAMAW PLASTIC SURGERY, LLC is a plastic surgeon located in MYRTLE BEACH, SC. NPPES has assigned the NPI number 1790406189 to WACCAMAW PLASTIC SURGERY, LLC on September 06, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208200000X from the Health Care Provider Taxonomy code set, which is classified as Plastic Surgery.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WACCAMAW PLASTIC SURGERY, LLC below.

NPI Profile for
WACCAMAW PLASTIC SURGERY, LLC

NPI Number
1790406189
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WACCAMAW PLASTIC SURGERY, LLC
Primary location
917 MEDICAL CIR
MYRTLE BEACH, SC 29572-4116
Phone: (843) 449-0453 Fax: (843) 449-9531
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRANDON COAKLEY
OWNER
Phone: (843) 449-0453
Updated
Certification Date
Sep 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208200000X
- Plastic Surgery (Primary)
207NS0135X
- Dermatology / Procedural Dermatology
207N00000X
- Dermatology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.