NPI 1407050123 · live from the CMS NPI Registry
Charlestone Bone & Joint PA
Orthopaedic Surgery, Orthopaedic Trauma in Moncks Corner, SC. National Provider Identifier 1407050123, active.
NPI record
| NPI | 1407050123 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery, Orthopaedic Trauma 207XX0801X |
| Practice location | 730 Stoney Landing Rd Ste 100, Moncks Corner, SC 29461 |
| Practice phone | 843-853-3347 |
| Mailing address | 255 E Bay St, Charleston, SC 29401 |
| Enumerated | June 14, 2007 |
| Last updated | September 11, 2025 |
| Authorized official | Dianne Thesing, Practice Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | — |
| Orthopaedic Surgery, Orthopaedic Trauma primary | 207XX0801X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.