Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Southeastern Spine Institute Ambulatory Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1124150297

The Southeastern Spine Institute Ambulatory Surgery Center, LLC is an Ambulatory Surgical Clinic/Center in Mt Pleasant, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1106 Chuck Dawley Blvd
Mt Pleasant, SC 29464-4183
Phone: (843) 669-5162
Fax: (843) 667-4573
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X (SC)

Record details

NPI number1124150297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Johnson — President · (843) 669-5162
NPI enumeratedMarch 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address217 Dozier Blvd, Suite 100, Florence, SC 29501-4090

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