Organization
SPORTS PLUS
Active
Parent organization
CLEMSON SPORTS MEDICINE & REHAB INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE & REHAB INC
Authorized official
JENNIFER WILMOT (A/R SUPERVISOR)
(864) 482-0064
Entity
Organization
Contact information
Practice address
170 UNIVERSITY PKWY, AIKEN, SC 29801-6308
(803) 649-9975
(803) 649-3357
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
08/18/2009
Last updated
08/18/2009
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