Organization
LOWCOUNTRY SPINE & SPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P BATSON III M.D. (OWNER)
(843) 422-0781
Entity
Organization
Contact information
Practice address
300 NEW RIVER PKWY, BUILDING 2, SUITE 37, HARDEEVILLE, SC 29927-4450
(843) 422-0781
(800) 210-2452
Mailing address
300 NEW RIVER PKWY, BUILDING 2, SUITE 37, HARDEEVILLE, SC 29927-4450
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
22310
SC
208VP0014X
Interventional Pain Medicine Physician
Primary
22310
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
223109
—
SC
Enumeration date
03/18/2009
Last updated
03/16/2011
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