Southern States Physical Medicine And Rehabiliation Center

NPI 1114943099 - Chiropractor - 111N00000X

NPI Details
NPI 1114943099
Enumeration Date 07/14/2006
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name GLENN GLENN
Position OWNER
Phone (803) 548-8452
Fax
Practice Location
8763 CHARLOTTE HWY
FORT MILL SC, 29715-7589, US
Phone (803) 548-8452
Fax
Business Location
1002 N WOODLAND DR
LANCASTER SC, 29720-1966, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State South Carolina
License Number 2158
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According to our database, Southern States Physical Medicine And Rehabiliation Center NPI is 1114943099, taxonomy code is 111N00000X and license number is 2158, license state is located at South Carolina. Southern States Physical Medicine And Rehabiliation Center physically located at 8763 Charlotte Hwy, Fort Mill SC, 29715-7589. NPI Number 1033115704 has the healthcare provider type.

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1114943099 NPI number is provided on an as is basis without warranty of any kind. 1114943099 is maintained by the National Plan & Provider Enumeration System. The contents of Southern States Physical Medicine And Rehabiliation Center are for informational purposes only.