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Organization

ARCIS HEALTHCARE, LLC

Active
Other names
LOWCOUNTRY ORTHOPAEDICS & SPORTS MEDICINE
Organization subpart
No

Provider details

NPI number
Authorized official
DON BECKER (CEO)
(843) 797-5050
Entity
Organization

Contact information

Practice address
2880 TRICOM ST, NORTH CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Mailing address
93 SPRINGVIEW LN UNIT B, SUMMERVILLE, SC 29485-8143
(843) 266-4883
(843) 793-5444

Taxonomy

Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
SC
207X00000X
Orthopaedic Surgery Physician
Primary
207XS0106X
Orthopaedic Hand Surgery Physician
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
208100000X
Physical Medicine & Rehabilitation Physician
SC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
363AS0400X
Surgical Physician Assistant
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
42D2000692
CLIA
SC
01
45168
MULTIPLAN MPI GROUP #
SC
01
DU4331
RAILROAD MEDICARE GROUP PTAN #
SC
05
GP6337
SC
Enumeration date
10/15/2013
Last updated
10/02/2018
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