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Organization

SPORTS PLUS

Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHAB INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHAB INC
Authorized official
JENNIFER WILMOT (A/R SUPERVISOR)
(864) 482-0064
Entity
Organization

Contact information

Practice address
3010 FARROW RD STE 100, COLUMBIA, SC 29203-7603
(803) 771-1535
(803) 771-1537
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/17/2009
Last updated
05/18/2010
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