Organization
LOWCOUNTRY REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL PENDARVIS WIGGINS PT, MHS (CLINICAL DIRECTOR)
(803) 943-3914
Entity
Organization
Contact information
Practice address
103 3RD ST E, HAMPTON, SC 29924-2511
(803) 943-3914
(803) 943-5131
Mailing address
103 3RD ST E, HAMPTON, SC 29924-2511
(803) 943-3914
(803) 943-5131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21659
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2069
—
SC
Enumeration date
02/07/2007
Last updated
09/12/2012
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