Carolina Orthopaedic And Sports Medicine, P.A.

LBN: Carolina Orthopaedic And Sports Medicine, P.A.
Carolina Orthopaedic And Sports Medicine, P.A. is an health care organization with primary practice located at 1818 Henderson St , Columbia SC 29201-2619. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Carolina Orthopaedic And Sports Medicine, P.A. can be contacted via phone (803) 758-2600, or through Boucher, David via phone (803) 782-4278.

Contact Information

Primary practice address
1818 Henderson St Columbia SC 29201-2619
Phone: (803) 758-2600
Fax: (803) 253-8896
Website:
Map and Directions
Authorized official contact:
Name: Boucher, David
Phone: (803) 782-4278

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X South Carolina

Profile Details

NPI number 1922055649
LBN Legal business name Carolina Orthopaedic And Sports Medicine, P.A.
DBA Doing business as
Authorized official Boucher, David
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2006
Last updated Apr 10th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922055649 NPPES
South Carolina MEDICAID GP4222

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