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Organization
SENIOR PHYSICAL MEDICINE LLC
Active
Organization
SENIOR PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS WINKLER (ADVISOR)
(708) 275-8518
Entity
Organization
Contact information
Practice address
201 HENRY PL, SPARTANBURG, SC 29306-3208
(864) 310-6101
Mailing address
3420 CLEMSON BLVD, STE 17, ANDERSON, SC 29621-1324
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1061
SC
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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