Imc Of South Carolina

NPI 1124373162 - Physical Therapist - 225100000X

NPI Details
NPI 1124373162
Enumeration Date 07/16/2012
Last Updated 07/16/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name TARA NICOLE TARA
Position INSURANCE & BILLING COORDINATOR
Phone (864) 458-6933
Fax (864) 458-6888
Practice Location
10 PARKWAY S
GREENVILLE SC, 29615-5096, US
Phone (864) 458-6933
Fax (864) 458-6888
Business Location
2615 CENTENNIAL BLVD
SUITE 101
TALLAHASSEE FL, 32308-0586, US
Phone (850) 656-1837
Fax (850) 877-2917
Toxanomy
Taxonomy Code 225100000X
License State South Carolina
License Number 6662
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According to our database, Imc Of South Carolina NPI is 1124373162, taxonomy code is 225100000X and license number is 6662, license state is located at South Carolina. Imc Of South Carolina physically located at 10 Parkway S, Greenville SC, 29615-5096. NPI Number 1033115704 has the healthcare provider type.

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1124373162 NPI number is provided on an as is basis without warranty of any kind. 1124373162 is maintained by the National Plan & Provider Enumeration System. The contents of Imc Of South Carolina are for informational purposes only.