Organization
CAROLINA SPINE AND ORTHO LLC
Active
Organization
CAROLINA SPINE AND ORTHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG MICHAEL CHEBUHAR MD (PRESIDENT)
(404) 227-1171
Entity
Organization
Contact information
Practice address
2730 DEVINE ST, COLUMBIA, SC 29205-2433
(803) 708-0354
(803) 708-0368
Mailing address
2730 DEVINE ST, COLUMBIA, SC 29205-2433
(803) 708-0354
(803) 708-0368
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD15716
SC
Other
Enumeration date
08/10/2018
Last updated
08/10/2018
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