Southern Orthopedics and Sports Medicine, LLC
NPI #1053568428 in Mt Pleasant, South Carolina
Provider Information
- NPI Number
- 1053568428
- Entity Type
- Organization
- Organization Name
- Southern Orthopedics and Sports Medicine, LLC
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Aug 27, 2008
- Last Updated
- Jun 23, 2016
Practice Location
- Address
- 851 LEONARD FULGHUM BLVD
- Address 2
- SUITE 101
- City
- Mt Pleasant
- State
- South Carolina
- ZIP Code
- 29464-3787
- Phone
- (843) 971-9350
Authorized Official
- Name
- MR. MICHAEL KYLE BURTNETT
- Title
- SVP OF OUTPATIENT SERVICES, TENET
- Phone
- (469) 893-2153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medicine - Sports Medicine — Sports Medicine |
| Orthopaedic Surgery |
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