Organization
CAROLINA ORTHOPAEDIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN M CONLON (PRACTICE ADMINISTRATOR)
(843) 294-1941
Entity
Organization
Contact information
Practice address
185 FRESH DR, SUITE B, MYRTLE BEACH, SC 29579-4436
(843) 294-1941
(843) 294-1945
Mailing address
185 FRESH DR, SUITE B, MYRTLE BEACH, SC 29579-4436
(843) 294-1941
(843) 294-1945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3856
—
SC
Enumeration date
09/09/2016
Last updated
09/09/2016
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