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Organization

CAROLINA ORTHOPAEDIC SURGERY ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY F ELKINS (ADMINISTRATOR)
(803) 329-7402
Entity
Organization

Contact information

Practice address
1690 WEST HWY 160, FORT MILL, SC 29715
(803) 548-2425
(803) 329-2611
Mailing address
134 PROFESSIONAL PARK DR, ROCK HILL, SC 29732-1178
(803) 329-3130
(803) 329-2611

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC0637
SC
Enumeration date
09/15/2010
Last updated
09/15/2010
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