Organization
ORTHOPAEDIC RECONSTRUCTION PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARK N HOPSON M.D. (PRESIDENT)
(843) 689-2215
Entity
Organization
Contact information
Practice address
15 LAFAYETTE PL, HILTON HEAD, SC 29926-2276
(843) 689-2215
(843) 689-2659
Mailing address
15 LAFAYETTE PL, HILTON HEAD, SC 29926-2276
(843) 689-2215
(843) 689-2659
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
6490
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1250-064904
—
SC
Enumeration date
01/19/2007
Last updated
12/05/2007
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