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Organization

THE SOUTHEASTERN SPINE INSTITUTE AMBULATORY SURGERY CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONALD R JOHNSON II MD (PRESIDENT)
18436695162
Entity
Organization

Contact information

Practice address
1106 CHUCK DAWLEY BLVD, MT PLEASANT, SC 29464-4183
(843) 669-5162
(843) 667-4573
Mailing address
217 DOZIER BLVD, SUITE 100, FLORENCE, SC 29501-4090
(843) 669-5162
(843) 667-4573

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
SC

Other

Enumeration date
03/12/2007
Last updated
08/22/2020
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