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NPI 1922055649 · live from the CMS NPI Registry

Carolina Orthopaedic And Sports Medicine, P.A.

Orthopaedic Surgery in Columbia, SC. National Provider Identifier 1922055649, active.

NPI record

NPI1922055649 Type 2 · organization
StatusActive
Primary specialtyOrthopaedic Surgery 207X00000X
Practice location1818 Henderson St, Columbia, SC 29201
Practice phone803-758-2600
Mailing addressPo Box 890046, Charlotte, NC 28289
EnumeratedMay 28, 2006
Last updatedApril 10, 2013
Authorized officialDavid Boucher, President And Coo

Taxonomies and licenses

TaxonomyCodeLicense
Orthopaedic Surgery primary207X00000X— (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.