Organization
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
Active
Parent organization
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
Other names
Myrtle Beach Physical Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEMSON SPORTS MEDICINE AND REHABILITATION, INC.
Authorized official
DEBBIE BAXTER (CREDENTIALING)
(864) 482-0064
Entity
Organization
Contact information
Practice address
210 VILLAGE CENTER BLVD, STE 100, MYRTLE BEACH, SC 29579-6706
(843) 491-4937
(843) 491-4938
Mailing address
PO BOX 1844, CLEMSON, SC 29633-1844
(864) 482-0064
(864) 482-0074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/01/2009
Last updated
04/28/2016
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