| NPI | 1457620387 |
|---|---|
| Doing Business As | SOUTHEASTERN ORTHOPAEDICS AND SPORTS MEDICINE CHAPIN |
| Doing Business As | SOUTHEASTERN ORTHOPAEDICS AND SPORTS MEDICINE |
| Doing Business As | SOUTHEASTERN ORTHOPAEDICS AND SPORTS MEDICINE NORTHEAST |
| Entity Type | Organization |
| Authorized Contact | TIFFANY AYERS Credentialing Manager 803-935-8292 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2021-01-07 |