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Organization
ORTHOPAEDIC CENTER OF THE CAROLINAS, PA
Active
Organization
ORTHOPAEDIC CENTER OF THE CAROLINAS, PA
Active
Parent organization
ST FRANCIS PHYSICIAN SERVICES INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST FRANCIS PHYSICIAN SERVICES INC.
Authorized official
WILLIAM L DEVAULT MD (PRESIDENT)
(864) 850-1968
Entity
Organization
Contact information
Practice address
100 POWERS BLVD, PIEDMONT, SC 29673
(864) 850-1968
(864) 850-1707
Mailing address
PO BOX 25039, GREENVILLE, SC 29616-0039
(864) 850-1968
(864) 850-1707
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1500
—
SC
Enumeration date
03/14/2006
Last updated
04/01/2008
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