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Organization

GAVIN ORTHOPAEDICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
J ROBERT GAVIN JR. MD (OWNER)
(843) 681-5077
Entity
Organization

Contact information

Practice address
149 RIVERWALK BLVD STE 3/4, RIDGELAND, SC 29936-8190
(843) 836-7022
(843) 836-3077
Mailing address
15 MOSS CREEK VLG, HILTON HEAD, SC 29926-1105
(843) 681-5077
(843) 681-5012

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
26650
SC

Other

Enumeration date
07/17/2018
Last updated
07/17/2018
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