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Organization

CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.

Active
Parent organization
CLEMSON SPORTS MEDICINE & REHABILITATION
Other names
Sports Plus
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLEMSON SPORTS MEDICINE & REHABILITATION
Authorized official
DEBBIE BAXTER (CREDENTIALING)
(864) 482-0064
Entity
Organization

Contact information

Practice address
2881 TRICOM ST, SUITE B, N CHARLESTON, SC 29406-9823
(843) 797-7095
(843) 797-7097
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0074

Taxonomy

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

Other

Enumeration date
06/01/2009
Last updated
04/25/2012
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