Carolina Orthopaedic and Sports Medicine, P.a.
Organization Active NPI Orthopaedic Surgery Physician · Columbia, SC
NPI 1922055649 · NPPES record last updated Apr 10, 2013
Key facts
- NPI
- 1922055649
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- CAROLINA ORTHOPAEDIC AND SPORTS MEDICINE, P.A.
- Practice address
- 1818 Henderson St
Columbia, SC 29201-2619 - Phone
- (803) 758-2600
- Fax
- (803) 253-8896
- NPI assigned
- May 28, 2006
- Organization subpart
- No
Authorized official
- Name
- David Boucher
- Title
- President and Coo
- Phone
- (803) 782-4278
Practitioners 4
-
David K. Lee, MD
-
Daniel J Single, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | SC | Yes |
Addresses
Primary practice location
1818 Henderson St
Columbia, SC 29201-2619
Mailing address
PO Box 890046
Charlotte, NC 28289-0046
Phone (803) 758-2600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP4222 | Medicaid | SC |
Other providers in Columbia, SC
- Carolina Kidney Specialists, LLC
- Carolina Medical Staffing
- Carolina OB/GYN Group, LLC
- Carolina Occupational Healthcare
- Carolina Orthodontics and Pediatric Dentistry
- Carolina Orthopaedic Clinic, PC
- Carolina Orthopaedic Clinic, PC
- Carolina Orthotics and Prosthetics LLC
- Carolina Pain Solutions, LLC
- Carolina Pediatrics & Adolescent Care, PA
All providers in Columbia, SC · Orthopaedic Surgery Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.