Organization
IMC OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA NICOLE ATKINSON (INSURANCE & BILLING COORDINATOR)
(850) 656-1837
Entity
Organization
Contact information
Practice address
10 PARKWAY S, GREENVILLE, SC 29615-5096
(864) 458-6933
(864) 458-6888
Mailing address
2615 CENTENNIAL BLVD, SUITE 101, TALLAHASSEE, FL 32308-0586
(850) 656-1837
(850) 877-2917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6662
SC
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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