# SOUTHEASTERN SPINE INSTITUTE,LLC

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

## Provider details

- **NPI number:** 1760534358
- **Authorized official:** RICHARD F. FRISCH MD (PARTNER)
- **Authorized official phone:** (843) 849-1551

## Contact information

- **Practice address:** 1625 HOSPITAL DR STE 200, MT PLEASANT, SC 29464-3698
- **Practice address phone:** (843) 849-1551
- **Mailing address:** 1625 HOSPITAL DR STE 200, MT PLEASANT, SC 29464-3892
- **Mailing address phone:** (843) 849-1551
- **Mailing address fax:** (843) 849-6591

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | — | SC | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 03/30/2023