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Organization
COLUMBIA ORTHOPAEDIC & SPINE INSTITUTE LLC
Active
Organization
COLUMBIA ORTHOPAEDIC & SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENEANE MARIE WAKULA (OFFICE MANAGER)
(772) 546-9591
Entity
Organization
Contact information
Practice address
3930 DEVINE ST, COLUMBIA, SC 29205-2804
(772) 245-8397
Mailing address
8925 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
(772) 245-8397
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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