Organization
THERAPY CENTERS OF SOUTH CAROLINA, P.A.
Active
Other names
Concentra Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOM FOGARTY M.D. (SENIOR VP / CHIEF MEDICAL OFFICER)
(972) 364-8103
Entity
Organization
Contact information
Practice address
8780 RIVERS AVE, SUITE 200, BLDG. B, NORTH CHARLESTON, SC 29406
(843) 572-0810
(843) 572-0817
Mailing address
5080 SPECTRUM DRIVE, SUITE 1200 WEST TOWER, ADDISON, TX 75001
(800) 232-3550
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
03/14/2007
Last updated
08/04/2008
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