Provider Demographics
NPI:1538813217
Name:CAROLINA SHOULDER AND KNEE SPECIALISTS LLC
Entity type:Organization
Organization Name:CAROLINA SHOULDER AND KNEE SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHIGIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-419-6646
Mailing Address - Street 1:810 MALLET HILL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-4406
Mailing Address - Country:US
Mailing Address - Phone:803-419-6646
Mailing Address - Fax:803-419-6626
Practice Address - Street 1:810 MALLET HILL RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-4406
Practice Address - Country:US
Practice Address - Phone:803-419-6646
Practice Address - Fax:803-419-6626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty