Provider Demographics
NPI:1619203171
Name:SCOLIOSIS SOLUTIONS
Entity Type:Organization
Organization Name:SCOLIOSIS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC,BS
Authorized Official - Phone:843-333-1629
Mailing Address - Street 1:804 INLET SQUARE DR
Mailing Address - Street 2:UNIT B
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-7874
Mailing Address - Country:US
Mailing Address - Phone:843-652-5678
Mailing Address - Fax:843-652-5679
Practice Address - Street 1:3630 POPLAR TENT RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-5535
Practice Address - Country:US
Practice Address - Phone:843-333-1629
Practice Address - Fax:843-652-5679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment