| NPI | 1619575958 |
|---|---|
| Doing Business As | SOUTHEASTERN ORTHOPAEDICS AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BRILLHART Senior VP/CFO 803-791-2967 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2021-07-08 |