| NPI | 1134395296 |
|---|---|
| Doing Business As | ORTHOPAEDIC SPECIALIST OF CHARLESTON |
| Entity Type | Organization |
| Authorized Contact | ELLEN JACKSON VP Managed Care & Prof Billing 843-724-2903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 0431230004) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |