Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION
Other names
Balance Center Mobility and Dizziness Center West Ashley
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION
Authorized official
STUART HUNTER (OWNER)
(864) 482-0064
Entity
Organization
Contact information
Practice address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 501-9134
(843) 203-1002
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/17/2014
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