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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