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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 SPECIALIST,P.A.

NPI Number 1770740664
LBN Legal business name CAROLINA SPINE AND SPORT REHABILIATATION SPECIALIST,P.A.
Authorized official NANCY LEMBO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/19/2008
Last updated 02/12/2016 - About 10 years ago
Identifiers
SC License # 918
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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