Organization
ORTHOSC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER EDELEN (DIRECTOR OF REVENUE CYCLE)
(843) 213-6149
Entity
Organization
Contact information
Practice address
1621 HIGHWAY 17 N, NORTH MYRTLE BEACH, SC 29582-2229
(843) 353-3460
Mailing address
PO BOX 22611, BELFAST, ME 04915-4477
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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