Organization
ORTHOPEDIC ASSOCIATES OF THE LOWCOUNTRY, LLC
Active
Other names
Premier Spine of the Carolinas
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
22 BETHEA DR, HILTON HEAD, SC 29926-4702
(843) 682-7480
(843) 681-9169
Mailing address
PO BOX 281512, ATLANTA, GA 30384-1512
(843) 682-7480
(843) 681-9169
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RX0202X
Medical Oncology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5241
—
SC
Enumeration date
05/05/2009
Last updated
06/16/2016
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