Organization
BONES III MEDICAL, LLC
Active
Other names
George R. Dawson, III Sole Mbr
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE R. DAWSON III M.D. (OWNER)
84369650089
Entity
Organization
Contact information
Practice address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(843) 464-8700
(888) 379-3488
Mailing address
1119 DUNVEGAN RD, FLORENCE, SC 29501-5625
(843) 665-0089
(888) 379-3488
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056904
—
SC
Enumeration date
09/16/2013
Last updated
09/16/2013
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