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Organization
CAROLINA BONE & JOINT PA
Active
Organization
CAROLINA BONE & JOINT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN FRANKLYN BABICH MD (AUTHORIZED OFFICIAL)
(704) 289-4595
Entity
Organization
Contact information
Practice address
1228 COLONIAL COMMONS CT, LANCASTER, SC 29720-2200
(803) 289-2663
(803) 286-8332
Mailing address
PO BOX 5002, MONROE, NC 28111-5002
(803) 289-2663
(803) 286-8332
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
NULL
207RR0500X
Rheumatology Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8902849
—
NC
05
—
E02849
—
SC
Enumeration date
12/18/2006
Last updated
10/04/2012
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