Southern Orthopaedic Sports Medicne

LBN: Southern Orthopaedic Sports Medicne
Southern Orthopaedic Sports Medicne is an health care organization with primary practice located at 1718 Saint Julian Pl , Columbia SC 29204-2410. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as the primary health care specialty. Southern Orthopaedic Sports Medicne can be contacted via phone (803) 376-8880, or through Ekman, Evan Franklin via phone (803) 376-8880.

Contact Information

Primary practice address
1718 Saint Julian Pl Columbia SC 29204-2410
Phone: (803) 376-8880
Fax: (803) 376-8881
Website:
Map and Directions
Authorized official contact:
Name: Ekman, Evan Franklin Doctor of Medicine (MD)
Phone: (803) 376-8880

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 19175 South Carolina

Profile Details

NPI number 1013965789
LBN Legal business name Southern Orthopaedic Sports Medicne
DBA Doing business as
Authorized official Ekman, Evan Franklin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2006
Last updated Oct 24th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013965789 NPPES
South Carolina MEDICAID GP2755

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