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Organization
PALMETTO ORTHOPAEDIC AND SPORTS MEDICINE CENTER, LLC
Active
Organization
PALMETTO ORTHOPAEDIC AND SPORTS MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAROLINE K KIRVEN DO (OFFICE MANGER)
(803) 469-4028
Entity
Organization
Contact information
Practice address
595 W WESMARK BLVD, SUMTER, SC 29150-1969
(803) 469-4028
(803) 469-2663
Mailing address
595 W WESMARK BLVD, SUMTER, SC 29150-1969
(803) 469-4028
(803) 469-2663
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
4919
SC
Other
Enumeration date
08/09/2006
Last updated
05/01/2018
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