Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC
Other names
Myrtle Beach Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC
Authorized official
DEBBIE BAXTER (CREDENTIALING SPECIALIST)
(864) 482-0064
Entity
Organization
Contact information
Practice address
4237 RIVER HILLS DR, SUITE 120, LITTLE RIVER, SC 29566-6444
(843) 249-5616
(843) 249-1843
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
—
SC
Other
Enumeration date
04/02/2009
Last updated
01/13/2012
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