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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