South Carolina Sports Medicine & Orthopaedic Center
LBN: South Carolina Sports Medicine & Orthopaedic Center
South Carolina Sports Medicine & Orthopaedic Center is an health care organization with primary practice located at 9100 Medcom St , N Charleston SC 29406-9188. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty.
South Carolina Sports Medicine & Orthopaedic Center can be contacted via phone (843) 572-2663, or through Mcwilliams, Matthew Pihlblad via phone (843) 569-3367.
Contact Information
Primary practice address
9100 Medcom St
N Charleston SC 29406-9188
Phone: (843) 572-2663
Fax: (843) 764-3577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X |
Profile Details
| NPI number | 1922111715 |
|---|---|
| LBN Legal business name | South Carolina Sports Medicine & Orthopaedic Center |
| DBA Doing business as | |
| Authorized official | Mcwilliams, Matthew Pihlblad |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jun 27th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922111715 | NPPES |
| Other | 0253030001 | DMERIC ID | |
| MEDICAID | GP0078 | DMERIC ID |
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