Clemson Sports Medicine and Rehabilitation, INC
NPI #1023117074 in Jacksonville, North Carolina
Provider Information
- NPI Number
- 1023117074
- Entity Type
- Organization
- Organization Name
- Clemson Sports Medicine and Rehabilitation, INC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Sep 22, 2006
- Last Updated
- Mar 30, 2011
Practice Location
- Address
- 1715 COUNTRY CLUB RD.
- Address 2
- SUITE EFG
- City
- Jacksonville
- State
- North Carolina
- ZIP Code
- 28546-6042
- Phone
- (910) 219-4566
Authorized Official
- Name
- DEBBIE BAXTER
- Title
- CREDENTIALING
- Phone
- (864) 482-0064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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