Organization
ORTHOSC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER EDELEN (DIRECTOR OF REVENUE CYCLE)
(843) 213-6149
Entity
Organization
Contact information
Practice address
103 PROFESSIONAL PARK DRIVE, CONWAY, SC 29526
(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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7688880009
—
SC
Enumeration date
09/11/2024
Last updated
02/24/2026
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