Southern Orthopaedic Sports Medicne in Columbia - Sports Medicine
Southern Orthopaedic Sports Medicne - NPI 1013965789
Southern Orthopaedic Sports Medicne is a Sports Medicine in Columbia, South Carolina. Southern Orthopaedic Sports Medicne practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Southern Orthopaedic Sports Medicne is 1013965789. The last update date is 2007-10-24.
Southern Orthopaedic Sports Medicne's current location address is 1718 Saint Julian Pl, Columbia, South Carolina. You can contact this provider via phone number 8033768880 and fax number 8033768881. The mailing address for Southern Orthopaedic Sports Medicne is 1718 Saint Julian Pl, Columbia, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Orthopaedic Sports Medicne |
|---|---|
| Address | 1718 Saint Julian Pl, Columbia, South Carolina |
| Phone Number | 8033768880 |
| Fax Number | 8033768881 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ekman Franklin Evan |
| Credentials | M.D. |
| Telephone Number | 8033768880 |
NPI Number Detail
| NPI Number | 1013965789 |
|---|---|
| Provider Enumeration Date | 2006-05-05 |
| Last Updated Date | 2007-10-24 |
Provider Mailing Address Detail
| Address | 1718 Saint Julian Pl |
|---|---|
| City | Columbia |
| State | South Carolina (SC) |
| Post Code | 292042410 |
| Phone Number | 8033768880 |
| Fax Number | 8033768881 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | 19175 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GP2755 | SC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southern Orthopaedic Sports Medicne?
The Southern Orthopaedic Sports Medicne has been issued the NPI (National Provider Identifier) 1013965789 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Southern Orthopaedic Sports Medicne?
The Southern Orthopaedic Sports Medicne is physically situated at 1718 Saint Julian Pl, in the city of Columbia, state of SC, with the postal code 292042410.
What is Southern Orthopaedic Sports Medicne's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Southern Orthopaedic Sports Medicne is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Xx0005X.
On what date did the Southern Orthopaedic Sports Medicne receive its 1013965789 assignment from the Centers for Medicare & Medicaid Services?
The Southern Orthopaedic Sports Medicne was assigned its 1013965789 by the Centers for Medicare & Medicaid Services on 2006-05-05.
As of what date was the information regarding Southern Orthopaedic Sports Medicne, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Southern Orthopaedic Sports Medicne, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-24.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY