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Organization
PIEDMONT REHABILITATION MEDICINE
Active
Organization
PIEDMONT REHABILITATION MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIEDRA ROBINSON (CREDENTIALING MANAGER)
(817) 284-9850
Entity
Organization
Contact information
Practice address
160 HAROLD FLEMING CT, SPARTANBURG, SC 29303
(864) 594-9600
(864) 594-9823
Mailing address
PO BOX 678361, DALLAS, TX 75267-8361
(817) 284-9850
(817) 284-3425
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD15580
SC
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Enumeration date
08/15/2007
Last updated
07/31/2018
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