Organization
LOWCOUNTRY ORTHOPAEDIC ASSOCIATES PA
Active
Other names
Lowcountry Orthopaedics & Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DON OWEN STOVALL JR. M.D. (PARTNER)
(843) 797-5050
Entity
Organization
Contact information
Practice address
2880 TRICOM ST, N CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 797-3633
Mailing address
2880 TRICOM ST, N CHARLESTON, SC 29406-9171
(843) 797-5050
(843) 793-5444
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
SC
207XS0106X
Orthopaedic Hand Surgery Physician
—
SC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
—
SC
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
SC
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
SC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0422990001
DMERC REGION C GROUP #
—
01
—
1326287434
MEDICAID DME NPI
SC
01
—
20000499
SELECT HEALTH GROUP #
SC
01
—
20076508
SELECT HEALTH DME
SC
01
—
461555
MEDICAID DME
SC
01
—
CD2877
RRMC GROUP #
—
05
—
PA0971
—
SC
Enumeration date
03/10/2006
Last updated
01/06/2015
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