Organization
CAROLINA ORTHOPEDICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK DANIEL MOORE III M.D. (OWNER)
(803) 292-3441
Entity
Organization
Contact information
Practice address
191 CENTRE SOUTH BLVD, SUITE 10, AIKEN, SC 29803-6313
(803) 292-3441
Mailing address
PO BOX 7396, AIKEN, SC 29804-7396
(803) 292-3441
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10145
SC
Other
Enumeration date
06/12/2015
Last updated
06/12/2015
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