Organization
CAROLINA BONE & JOINT SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA SKIPPER RN (CENTER DIRECTOR)
(843) 903-6320
Entity
Organization
Contact information
Practice address
101 SURGEONS DR, MYRTLE BEACH, SC 29579-5198
(843) 236-6633
(843) 903-6331
Mailing address
101 SURGEONS DR, MYRTLE BEACH, SC 29579-5198
(843) 236-6633
(843) 903-6331
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ASF077
SC
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF077
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC052
—
SC
Enumeration date
12/28/2005
Last updated
06/18/2015
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