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Organization

CAROLINA MUSCULOSKELETAL INSTITUTE PA

Active
Parent organization
CAROLINA MUSCULOSKELETAL INSTITUTE PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROLINA MUSCULOSKELETAL INSTITUTE PA
Authorized official
MACKIE J. WALKER JR. DPM (OWNER)
(803) 644-4264
Entity
Organization

Contact information

Practice address
721 RICHLAND AVE W, STE 100, AIKEN, SC 29801-2438
(803) 644-4264
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary

Other

Enumeration date
04/04/2012
Last updated
04/04/2012
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