Organization
CHARLESTON BONE & JOINT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE THESING (PRACTICE ADMINISTRATOR)
(843) 853-3474
Entity
Organization
Contact information
Practice address
767 JOHNNIE DODDS BLVD, MT PLEASANT, SC 29464-3027
(843) 853-3474
(843) 853-3500
Mailing address
255 E BAY ST, CHARLESTON, SC 29401-2632
(843) 853-3474
(843) 853-3500
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
—
—
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP0535
—
SC
Enumeration date
06/14/2007
Last updated
09/11/2025
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