# GOOSE CREEK PHYSICAL MEDICINE LLC

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

## Provider details

- **NPI number:** 1346534781
- **Authorized official:** JENS FRANZEN DC (OWNER)
- **Authorized official phone:** (843) 376-5595

## Contact information

- **Practice address:** 607 SAINT JAMES AVE, SUITE B, GOOSE CREEK, SC 29445-2773
- **Practice address phone:** (843) 376-5595
- **Practice address fax:** (843) 376-5604
- **Mailing address:** 607 SAINT JAMES AVE, SUITE B, GOOSE CREEK, SC 29445-2773
- **Mailing address phone:** (843) 376-5595
- **Mailing address fax:** (843) 376-5604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/02/2011
- **Last updated:** 06/02/2011