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Organization
ELEVATE PHYSICAL MEDICINE LLC
Active
Organization
ELEVATE PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WINK (OWNER)
(864) 607-4327
Entity
Organization
Contact information
Practice address
700 SQUIRES PT STE B, DUNCAN, SC 29334-8879
(864) 607-4327
(864) 752-1653
Mailing address
700 SQUIRES PT STE B, DUNCAN, SC 29334-8879
(864) 607-4327
(864) 752-1653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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