Provider Demographics
NPI:1467884130
Name:HILTON HEAD PLASTIC SURGERY, LLC
Entity type:Organization
Organization Name:HILTON HEAD PLASTIC SURGERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:SETTLE
Authorized Official - Last Name:REID
Authorized Official - Suffix:IV
Authorized Official - Credentials:MD
Authorized Official - Phone:843-681-4088
Mailing Address - Street 1:35 BILL FRIES DR
Mailing Address - Street 2:BLDG. E
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2730
Mailing Address - Country:US
Mailing Address - Phone:843-681-4088
Mailing Address - Fax:843-689-3742
Practice Address - Street 1:35 BILL FRIES DR
Practice Address - Street 2:BLDG. E
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926-2730
Practice Address - Country:US
Practice Address - Phone:843-681-4088
Practice Address - Fax:843-689-3742
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC36150261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty