Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

The Southeastern Spine Institute Ambulatory Surgery Center, LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1124150297

The Southeastern Spine Institute Ambulatory Surgery Center, LLC provides Ambulatory Surgical Clinic/Center services 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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