Organization
CAROLINA ORTHOPAEDIC SPECIALISTS, LLC
Active
Other names
Carolina Orthopaedics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN M. CONLON M.ED. (PRACTICE ADMINISTRATOR)
(843) 294-1941
Entity
Organization
Contact information
Practice address
3545 HIGHWAY 17, SUITE 200, MURRELLS INLET, SC 29576
(843) 294-1941
(843) 294-1945
Mailing address
PO BOX 4746, PAWLEYS ISLAND, SC 29585-8746
(843) 294-1941
(843) 294-1945
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD21586
SC
208100000X
Physical Medicine & Rehabilitation Physician
MMD.19213MD
SC
213ES0103X
Foot & Ankle Surgery Podiatrist
566
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3856
—
SC
Enumeration date
03/15/2006
Last updated
10/19/2015
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