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Organization

SEASIDE SPINE SPECIALISTS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCES SANTIAGO (PRACTICE ADMINISTRATOR)
(843) 548-7801
Entity
Organization

Contact information

Practice address
9565 HIGHWAY 78 BLDG 100, LADSON, SC 29456-4118
(843) 553-7615
(843) 553-1008
Mailing address
9565 HIGHWAY 78 BLDG 100, LADSON, SC 29456-4118
(843) 553-7615
(843) 553-1008

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
207X00000X
Orthopaedic Surgery Physician

Other

Enumeration date
01/25/2022
Last updated
12/17/2024
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