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Organization

SENIOR PHYSICAL MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS WINKLER (ADVISOR)
(708) 275-8518
Entity
Organization

Contact information

Practice address
201 HENRY PL, SPARTANBURG, SC 29306-3208
(864) 310-6101
Mailing address
3420 CLEMSON BLVD, STE 17, ANDERSON, SC 29621-1324

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1061
SC

Other

Enumeration date
12/07/2016
Last updated
12/07/2016
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