Organization
PALMETTO PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE M MASSIE (PRACTICE MANAGER)
(803) 325-2200
Entity
Organization
Contact information
Practice address
237 S HERLONG AVE, ROCK HILL, SC 29732-1159
(803) 325-2200
Mailing address
PO BOX 10005, ROCK HILL, SC 29731
(803) 325-2200
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
1323
SC
207Q00000X
Family Medicine Physician
Primary
SC28333
SC
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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