NPI 1417320375

Elite Orthopaedics of South Carolina, LLC

Organisation Specialist Conway, SC

Practice location

Address: 235 Singleton Ridge Rd, Conway, SC 29526-9136
Phone: (843) 347-4357

Authorised official

Name: Jeneane Marie Wakula
Title: Office Manager
Phone: (772) 546-9591

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence TL37747 (SC)

Other Specialist providers in South Carolina →

Registry record

NPI: 1417320375
Entity type: Organization
NPI issued: 1 Nov 2015
Record last updated: 1 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.