# ACCIDENT INJURY AND REHABILITATION PC

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

## Provider details

- **NPI number:** 1366567778
- **Authorized official:** MRS. JENNIFER MCKAY (OFFICE MANGER)
- **Authorized official phone:** (843) 669-1010

## Contact information

- **Practice address:** 507 W PALMETTO ST, FLORENCE, SC 29501-4427
- **Practice address phone:** (843) 669-1010
- **Practice address fax:** (843) 669-1054
- **Mailing address:** 507 W PALMETTO ST, FLORENCE, SC 29501-4427
- **Mailing address phone:** (843) 669-1010
- **Mailing address fax:** (843) 669-1054

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | 2474 | SC | — |
| 111NR0400X | Rehabilitation Chiropractor | 3406 | SC | — |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 11313 | SC | Yes |
| 207Q00000X | Family Medicine Physician | 11313 | SC | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 6253900001 | SC | — |
| 363A00000X | Physician Assistant | 1091 | SC | — |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 02/09/2015