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Contact Information

CAROLINA SPINE AND SPORT REHABILIATATION SPECIALIST,P.A.
763 TRAVELERS BLVD STE D
SUMMERVILLE, SC29485-8796
 Phone: 843-569-5421
 Fax: 843-569-5973
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CAROLINA SPINE AND SPORT REHABILIATATION SPECIALISTPA · (Female)

NPI Number 1770740664
Status Active
Credentials
Entity Individual
Enumeration date 05/19/2008
Last updated 02/12/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 918
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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