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Organization
JEFFERY M REUBEN, MD PA
Active
Organization
JEFFERY M REUBEN, MD PA
Active
Other names
SPINE INSTITUTE OF THE CAROLINAS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY M REUBEN M.D. (PRESIDENT)
(843) 379-7746
Entity
Organization
Contact information
Practice address
40 OKATIE CTR BLVD STE 205, OKATIE, SC 29909-7511
(843) 379-7746
Mailing address
PO BOX 670, PORT ROYAL, SC 29935-0670
(843) 379-7746
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE3412
MEDICAID DME
SC
05
—
GP4760
—
SC
Enumeration date
08/24/2007
Last updated
08/30/2023
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