Clemson Sports Medicine and Rehabilitation, Inc.
NPI #1205062619 in N Charleston, South Carolina
Provider Information
- NPI Number
- 1205062619
- Entity Type
- Organization
- Organization Name
- Clemson Sports Medicine and Rehabilitation, Inc.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CLEMSON SPORTS MEDICINE & REHABILITATION
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 1, 2009
- Last Updated
- Apr 25, 2012
Practice Location
- Address
- 2881 TRICOM ST
- Address 2
- SUITE B
- City
- N Charleston
- State
- South Carolina
- ZIP Code
- 29406-9823
- Phone
- (843) 797-7095
Authorized Official
- Name
- DEBBIE BAXTER
- Title
- CREDENTIALING
- Phone
- (864) 482-0064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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