# MATRIX REHABILITATION SOUTH CAROLINA, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vaughn, Buchanan, Shelley & Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295751204
- **Authorized official:** MRS. CYNTHIA L. GOLDBERG (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (610) 644-7824

## Contact information

- **Practice address:** 1334 MILLER RD, GREENVILLE, SC 29607-5710
- **Practice address phone:** (864) 234-5842
- **Practice address fax:** (864) 676-1468
- **Mailing address:** 335 ROSELANE ST NW, SUITE 201, MARIETTA, GA 30060-7902
- **Mailing address phone:** (470) 259-5226
- **Mailing address fax:** (267) 321-2044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 05/12/2015
