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Organization
ORTHOPAEDIC SPECIALISTS OF CHARLESTON
Active
Organization
ORTHOPAEDIC SPECIALISTS OF CHARLESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M GRAHAM JR. MD (PRESIDENT)
(843) 958-2500
Entity
Organization
Contact information
Practice address
2093 HENRY TECKLENBURG DR, STE 200, CHARLESTON, SC 29414
(843) 958-2500
(843) 958-2635
Mailing address
2093 HENRY TECKLENBURG DR, STE 200, CHARLESTON, SC 29414-5741
(843) 958-2500
(843) 958-2635
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
30267
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1578
—
SC
Enumeration date
07/25/2006
Last updated
10/30/2007
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