Organization
CLEMSON SPORTS MEDICINE AND REHAB
Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHAB INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHAB INC
Authorized official
JENNIFER WILMOT (A/R SUPERVISOR)
(864) 482-0064
Entity
Organization
Contact information
Practice address
1019 TIGER BLVD STE 105, CLEMSON, SC 29631-2913
(864) 654-0431
(864) 654-0799
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0081
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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