Organization
SOUTHEASTERN SPINE INSTITUTE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD F. FRISCH MD (PARTNER)
(843) 849-1551
Entity
Organization
Contact information
Practice address
1625 HOSPITAL DR STE 200, MT PLEASANT, SC 29464-3698
(843) 849-1551
Mailing address
1625 HOSPITAL DR STE 200, MT PLEASANT, SC 29464-3892
(843) 849-1551
(843) 849-6591
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
SC
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
03/30/2023
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