Registry details
Type
Individual
Primary specialty
Orthopaedic Surgery
Enumerated
Jun 14, 2007
License(s)
2017-01344 (NC), 35229 (SC)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 23321 | New York, NY 10087-3321 | 843-792-6200 |
| LOCATION | 1175 COOK RD STE 215 | Orangeburg, SC 29118-8201 | 803-395-3837 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.