# SPORTS MEDICINE & ORTHOPAEDIC CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023892262
- **Authorized official:** SHANE WOOLF MD (OWNER)
- **Authorized official phone:** (843) 412-2614

## Contact information

- **Practice address:** 1230 HOSPITAL DR, MOUNT PLEASANT, SC 29464-3251
- **Practice address phone:** (843) 473-4331
- **Practice address fax:** (843) 473-4398
- **Mailing address:** 1230 HOSPITAL DR, MOUNT PLEASANT, SC 29464-3251
- **Mailing address phone:** (843) 473-4331
- **Mailing address fax:** (843) 473-4398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/21/2023
- **Last updated:** 01/16/2025