Organization
SPORTS PLUS
Active
Parent organization
CLEMSON SPORTS MEDICINE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE
Authorized official
JENNIFER WILMOT (A/R SUPERVISOR)
(864) 482-0064
Entity
Organization
Contact information
Practice address
800 COLUMBIANA DR STE 50, IRMO, SC 29063-7214
(803) 732-9294
(803) 732-9295
Mailing address
800 COLUMBIANA DR STE 50, IRMO, SC 29063-7214
(803) 732-9294
(803) 732-9295
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/10/2009
Last updated
08/10/2009
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