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Organization
CAROLINA ORTHOPAEDIC SURGERY ASSOCIATES, P.A.
Active
Organization
CAROLINA ORTHOPAEDIC SURGERY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY F ELKINS (ADMINISTRATOR)
(803) 329-7402
Entity
Organization
Contact information
Practice address
1690 WEST HWY 160, FORT MILL, SC 29715
(803) 548-2425
(803) 329-2611
Mailing address
134 PROFESSIONAL PARK DR, ROCK HILL, SC 29732-1178
(803) 329-3130
(803) 329-2611
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC0637
—
SC
Enumeration date
09/15/2010
Last updated
09/15/2010
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