Organization
COASTAL CLEMSON ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN CLEMSON PT (OWNER)
(678) 978-2395
Entity
Organization
Contact information
Practice address
115 COOKS REST LN, MONCKS CORNER, SC 29461-8895
(678) 978-2395
Mailing address
115 COOKS REST LN, MONCKS CORNER, SC 29461-8895
(678) 978-2395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/12/2023
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