Healthcare Provider Details

I. General information

NPI: 1700620705
Provider Name (Legal Business Name): INLET PLASTIC SURGERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3911 HIGHWAY 17 UNIT C
MURRELLS INLET SC
29576-5014
US

IV. Provider business mailing address

3911 HIGHWAY 17 UNIT C
MURRELLS INLET SC
29576-5014
US

V. Phone/Fax

Practice location:
  • Phone: 843-497-7771
  • Fax: 843-652-4005
Mailing address:
  • Phone: 843-497-7771
  • Fax: 843-652-4005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. VESNA SOLHEIM
Title or Position: OWNER/OFFICIAL
Credential: MD
Phone: 704-421-2222