Southern Orthopedics And Sports Medicine, Llc
LBN: Southern Orthopedics And Sports Medicine, Llc
Southern Orthopedics And Sports Medicine, Llc is an health care organization with primary practice located at 851 Leonard Fulghum Blvd Suite 101, Mt Pleasant SC 29464-3787. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is the primary health care specialty.
Southern Orthopedics And Sports Medicine, Llc can be contacted via phone (843) 971-9350, or through Burtnett, Michael Kyle via phone (469) 893-2153.
Contact Information
Primary practice address
851 Leonard Fulghum Blvd Suite 101
Mt Pleasant SC 29464-3787
Phone: (843) 971-9350
Fax: (843) 971-9351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207PS0010X | ||
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X |
Profile Details
NPI number | 1053568428 |
---|---|
LBN Legal business name | Southern Orthopedics And Sports Medicine, Llc |
DBA Doing business as | |
Authorized official | Burtnett, Michael Kyle |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 27th, 2008 |
Last updated | Jun 23rd, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053568428 | NPPES |
South Carolina | MEDICAID | GP5001 |
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