# MATRIX REHABILITATION SOUTH CAROLINA, INC.

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

## Provider details

- **NPI number:** 1427463306
- **Authorized official:** MR. MICHAEL E TARVIN (VICE PRESIDENT AND SECRETARY)
- **Authorized official phone:** (717) 972-1100

## Contact information

- **Practice address:** 138 MILESTONE WAY, SUITE A, GREENVILLE, SC 29615-6618
- **Practice address phone:** (864) 288-2249
- **Practice address fax:** (864) 329-8563
- **Mailing address:** 4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
- **Mailing address phone:** (717) 972-1100

## Taxonomy

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

## Other

- **Enumeration date:** 06/30/2014
- **Last updated:** 10/26/2018