Organization
SC ORTHONEURO, LLC
Active
Other names
Ortho-Neuro
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE ADAMS (ADMINISTRATOR)
(727) 203-1023
Entity
Organization
Contact information
Practice address
6925 HIGHWAY 707 STE A&B, MYRTLE BEACH, SC 29588-7372
(727) 203-1023
(843) 595-9777
Mailing address
6925 HIGHWAY 707 STE A&B, MYRTLE BEACH, SC 29588-7372
(727) 203-1023
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
2084P0301X
Brain Injury Medicine (Psychiatry & Neurology) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
12/19/2024
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