Charleston Spine & Physical Medicine

LBN: Charleston Spine & Physical Medicine
Charleston Spine & Physical Medicine is an health care organization with primary practice located at 2093 Henry Tecklenburg Dr Ste 310, Charleston SC 29414-5743. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Charleston Spine & Physical Medicine can be contacted via phone (843) 402-0111, or through Jones, Gregory M via phone (843) 402-0111.

Contact Information

Primary practice address
2093 Henry Tecklenburg Dr Ste 310 Charleston SC 29414-5743
Phone: (843) 402-0111
Fax: (843) 402-9010
Website:
Map and Directions
Authorized official contact:
Name: Jones, Gregory M Doctor of Medicine (MD)
Phone: (843) 402-0111

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 15923 South Carolina

Profile Details

NPI number 1417929027
LBN Legal business name Charleston Spine & Physical Medicine
DBA Doing business as
Authorized official Jones, Gregory M Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1417929027 NPPES
South Carolina MEDICAID GP2334

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