# IMC OF SOUTH CAROLINA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215277157
- **Authorized official:** MRS. TARA N. ATKINSON (INSURANCE & BILLING COORDINATOR)
- **Authorized official phone:** (850) 656-1837

## Contact information

- **Practice address:** 1785 NEW CUT RD, SPARTANBURG, SC 29303-4740
- **Practice address phone:** (864) 458-6933
- **Practice address fax:** (864) 458-6888
- **Mailing address:** 2615 CENTENNIAL BLVD, SUITE 101, TALLAHASSEE, FL 32308-0586
- **Mailing address phone:** (850) 656-1837
- **Mailing address fax:** (850) 877-2917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 6662 | SC | Yes |

## Other

- **Enumeration date:** 02/28/2013
- **Last updated:** 02/28/2013