Healthcare Provider Details

I. General information

NPI: 1497256176
Provider Name (Legal Business Name): ORTHOSC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 FRESH DR STE B
MYRTLE BEACH SC
29579
US

IV. Provider business mailing address

3545 HIGHWAY 17 UNIT 200
MURRELLS INLET SC
29576-5113
US

V. Phone/Fax

Practice location:
  • Phone: 843-353-3460
  • Fax:
Mailing address:
  • Phone: 843-353-3460
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PETER RAMSEY
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 843-353-3460