Organization
REHABILITATION CENTERS OF CHARLESTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON J BECKHAM (CREDENTIALING COORDINATOR)
(843) 884-7880
Entity
Organization
Contact information
Practice address
1941 SAVAGE RD, SUITE 300A, CHARLESTON, SC 29407-4790
(843) 402-1495
(843) 402-1285
Mailing address
586 LONE TREE DR, MT PLEASANT, SC 29464-8170
(843) 884-7880
(843) 884-6635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1753
—
SC
Enumeration date
05/09/2007
Last updated
06/12/2009
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