NPI 1679278097 · live from the CMS NPI Registry
Jack Ayres
Orthopaedic Surgery in Columbia, SC. National Provider Identifier 1679278097, active.
NPI record
| NPI | 1679278097 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2 Medical Park Rd, Columbia, SC 29203 |
| Practice phone | 803-434-6879 |
| Enumerated | April 4, 2023 |
| Last updated | July 11, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | LL89977 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.