Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WILMOT (A/R SUPERVISOR)
(864) 482-0064
Entity
Organization
Contact information
Practice address
10626 CLEMSON BLVD, SENECA, SC 29678-4526
(864) 482-0064
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
SC
Other
Enumeration date
02/22/2008
Last updated
12/12/2008
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