Organization
CHARLESTON SPINE & PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY M JONES MD (PRESIDENT)
(843) 402-0111
Entity
Organization
Contact information
Practice address
2093 HENRY TECKLENBURG DR, STE 310, CHARLESTON, SC 29414-5743
(843) 402-0111
(843) 402-9010
Mailing address
2093 HENRY TECKLENBURG DR, STE 310, CHARLESTON, SC 29414-5743
(843) 402-0111
(843) 402-9010
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
15923
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2334
—
SC
Enumeration date
02/07/2006
Last updated
08/22/2020
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