Organization
ORTHOSC LLC
Active
Parent organization
ORTHOSC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORTHOSC LLC
Authorized official
JENIFER EDELEN (REVENUE CYCLE DIRECTOR)
(843) 213-6149
Entity
Organization
Contact information
Practice address
3620 WALTON DR UNIT C-5C6, MYRTLE BEACH, SC 29577-6781
(843) 353-3460
(843) 353-3461
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 353-3460
(843) 353-3461
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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