Organization
SC FYZICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER BASHAM (PROVIDER LIAISON)
(803) 408-3277
Entity
Organization
Contact information
Practice address
110 HIGHLAND CENTER DR, COLUMBIA, SC 29203-9247
(803) 408-3277
(803) 408-8698
Mailing address
15 EXCHANGE DR, LUGOFF, SC 29078-9198
(803) 408-3277
(803) 408-8698
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2018
Last updated
12/18/2018
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