Organization
CAROLINA PHYSICAL THERAPY AND SPORTS MEDICINE, INC.
Active
Organization
CAROLINA PHYSICAL THERAPY AND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER LEE BALLEW P.T. (OWNER/DIRECTOR)
(803) 788-8484
Entity
Organization
Contact information
Practice address
115 ATRIUM WAY, SUITE 232, COLUMBIA, SC 29223-6383
(803) 788-8484
(803) 788-8499
Mailing address
115 ATRIUM WAY, SUITE 232, COLUMBIA, SC 29223-6383
(803) 788-8484
(803) 788-8499
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
1888
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4712
—
SC
Enumeration date
10/13/2006
Last updated
12/04/2007
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