The Southeastern Spine Institute Ambulatory Surgery Center, LLC
NPI #1124150297 in Mt Pleasant, South Carolina
Provider Information
- NPI Number
- 1124150297
- Entity Type
- Organization
- Organization Name
- The Southeastern Spine Institute Ambulatory Surgery Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Mar 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1106 CHUCK DAWLEY BLVD
- City
- Mt Pleasant
- State
- South Carolina
- ZIP Code
- 29464-4183
- Phone
- (843) 669-5162
Authorized Official
- Name
- DONALD R JOHNSON II, MD
- Title
- PRESIDENT
- Phone
- 18436695162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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