Provider Demographics
NPI:1730639055
Name:CFSH LLC
Entity Type:Organization
Organization Name:CFSH LLC
Other - Org Name:CAROLINA FAMILY SPINE & HEALTH, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-BC
Authorized Official - Phone:843-333-1629
Mailing Address - Street 1:PO BOX 1284
Mailing Address - Street 2:
Mailing Address - City:MURRELLS INLET
Mailing Address - State:SC
Mailing Address - Zip Code:29576-1284
Mailing Address - Country:US
Mailing Address - Phone:843-652-5678
Mailing Address - Fax:843-652-5679
Practice Address - Street 1:4111 MURRELLS INLET RD
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-6208
Practice Address - Country:US
Practice Address - Phone:843-652-5678
Practice Address - Fax:843-652-5679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-11
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC7591840001OtherMEDICARE DME
SCG447OtherMEDICARE
SCG447OtherMEDICARE