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Organization

CAROLINA BONE & JOINT PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN FRANKLYN BABICH MD (AUTHORIZED OFFICIAL)
(704) 289-4595
Entity
Organization

Contact information

Practice address
1228 COLONIAL COMMONS CT, LANCASTER, SC 29720-2200
(803) 289-2663
(803) 286-8332
Mailing address
PO BOX 5002, MONROE, NC 28111-5002
(803) 289-2663
(803) 286-8332

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
207X00000X
Orthopaedic Surgery Physician
208VP0000X
Pain Medicine Physician
335E00000X
Prosthetic/Orthotic Supplier
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8902849
NC
05
E02849
SC
Enumeration date
12/18/2006
Last updated
10/04/2012
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