# SENIOR PHYSICAL MEDICINE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1598209728
- **Authorized official:** NICHOLAS WINKLER (ADVISOR)
- **Authorized official phone:** (708) 275-8518

## Contact information

- **Practice address:** 201 HENRY PL, SPARTANBURG, SC 29306-3208
- **Practice address phone:** (864) 310-6101
- **Mailing address:** 3420 CLEMSON BLVD, STE 17, ANDERSON, SC 29621-1324

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 1061 | SC | Yes |

## Other

- **Enumeration date:** 12/07/2016
- **Last updated:** 12/07/2016