Organization
JEFFERY M. REUBEN, MD PA
Active
Other names
Spine Institute of the Carolinas
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY M REUBEN MD (OWNER)
(843) 379-7746
Entity
Organization
Contact information
Practice address
40 OKATIE CENTER BLVD S STE 350, OKATIE, SC 29909-7511
(843) 379-7746
(843) 522-1275
Mailing address
PO BOX 670, PORT ROYAL, SC 29935-0670
(843) 379-7746
(843) 522-1275
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
TL30979
SC
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003009846
GROUP NPI
SC
01
—
DE3412
MCAID DME
SC
05
—
GP4760
—
SC
Enumeration date
03/21/2011
Last updated
08/30/2023
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