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Organization
CAROLINA ORTHOPAEDIC SPECIALISTS, LLC
Active
Organization
CAROLINA ORTHOPAEDIC SPECIALISTS, LLC
Active
Other names
Carolina Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN M. CONLON M.ED. (PRACTICE ADMINISTRATOR)
(843) 294-1941
Entity
Organization
Contact information
Practice address
3545 HIGHWAY 17, SUITE 200, MURRELLS INLET, SC 29576
(843) 294-1941
(843) 294-1945
Mailing address
PO BOX 4746, PAWLEYS ISLAND, SC 29585-8746
(843) 294-1941
(843) 294-1945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD21586
SC
208100000X
Physical Medicine & Rehabilitation Physician
MMD.19213MD
SC
213ES0103X
Foot & Ankle Surgery Podiatrist
566
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3856
—
SC
Enumeration date
03/15/2006
Last updated
10/19/2015
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