Organization
GOOSE CREEK PHYSICAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENS FRANZEN DC (OWNER)
(843) 376-5595
Entity
Organization
Contact information
Practice address
607 SAINT JAMES AVE, SUITE B, GOOSE CREEK, SC 29445-2773
(843) 376-5595
(843) 376-5604
Mailing address
607 SAINT JAMES AVE, SUITE B, GOOSE CREEK, SC 29445-2773
(843) 376-5595
(843) 376-5604
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2773
—
SC
Enumeration date
06/02/2011
Last updated
06/02/2011
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