MEDICARE: NEUROSPINE SPECIALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician	29442	SC

General Provider Information

NPI Number	:	1962874925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEUROSPINE SPECIALISTS

Provider Business Mailing Address
First Line	:	9313 MEDICAL PLAZA DR
Second Line	:	STE 305
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9155
Country	:	US
Telephone Number	:	843-553-7615
Fax Number	:	843-553-1008

Provider Business Practice Location Address
First Line	:	9313 MEDICAL PLAZA DR
Second Line	:	STE 305
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9155
Country	:	US
Telephone Number	:	843-553-7615
Fax Number	:	843-553-1008

Authorized Official
Title or Position	:	OWNER
Name	:	JASON M HIGHSMITH
Credential	:	M.D.
Telephone Number	:	843-553-7615

Provider Enumeration Date	:	10/29/2015
Last Update Date	:	10/29/2015

Similar Medicare Providers

1659307718 — CHARLES STEWART ROBERTS MD
Practice Location Address:

9313 MEDICAL PLAZA DR , SUITE 304
NORTH CHARLESTON, SC
29406-9155

Practice Phone: 843-553-5616
Practice Fax: 843-764-2917

1225057086 — DAVID CORLEY BLEASE PA-C
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1598878001 — DR. FLOURNOY COLZEY WALKER III M.D.
Practice Location Address:

9313 MEDICAL PLAZA DR , SUITE 302
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29406-9155

Practice Phone: 843-553-0484
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1003916396 — NORTHWOODS FAMILY PRACTICE, LLC.
Practice Location Address:

9313 MEDICAL PLAZA DR , SUITE 302
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1447336177 — DR. JAMES MICHAEL BENNER M.D.
Practice Location Address:

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29406-9155

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1164858981 — DR. PAUL ALLEN FLEMING PHARM.D.
Practice Location Address:

9313 MEDICAL PLAZA DR
NORTH CHARLESTON, SC
29406-9155

Practice Phone: 843-572-1200
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Directions to “NEUROSPINE SPECIALISTS ” Practice Location

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