Healthcare Provider Details

I. General information

NPI: 1053380501
Provider Name (Legal Business Name): HAND SURGERY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2006
Last Update Date: 05/05/2023
Certification Date: 08/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1498 FREEDOM BLVD
FLORENCE SC
29505-6077
US

IV. Provider business mailing address

1498 FREEDOM BLVD
FLORENCE SC
29505-6077
US

V. Phone/Fax

Practice location:
  • Phone: 843-676-2720
  • Fax: 843-676-2722
Mailing address:
  • Phone: 843-676-2720
  • Fax: 843-676-2722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number14794
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number14794
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number14794
License Number StateSC

VIII. Authorized Official

Name: DR. NICHOLAS R WHITE
Title or Position: OWNER
Credential: MD
Phone: 843-676-2720