Organization
MEDICAL UNIVERSITY OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA WORKMAN (PT 3)
(843) 573-1513
Entity
Organization
Contact information
Practice address
2125 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5879
(843) 573-1513
Mailing address
3728 STATION POINT CT, MT PLEASANT, SC 29466-8316
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1213
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1213
PHYSICAL THERAPIST LICENS
—
Enumeration date
10/16/2007
Last updated
10/16/2007
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