| Organization Name: | LOWCOUNTRY SPINE & SPORT, LLC |
| NPI Number: | 1356582597 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN P BATSON (OWNER) |
| Mailing Address: | 300 New River Pkwy Building 2, Suite 37 Hardeeville |
| State: | SC US |
| Postal Code: | 299274450 |
| Phone Number: | 8434220781 |
| Fax Number: | 8002102452 |
| NPI Enumeration Date: | 03/18/2009 |
| NPI Last Update Date: | 03/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 22310 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |