Wickiser Physical Medicine, Llc

NPI 1558790584 - Durable Medical Equipment & Medical Supplies - 332B00000X

NPI Details
NPI 1558790584
Enumeration Date 11/12/2013
Last Updated 09/26/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CLAYTON WADE CLAYTON
Position PRESIDENT
Phone (864) 226-8868
Fax (864) 226-8804
Practice Location
122 EAST WEST PARKWAY
ANDERSON SC, 29621-1361, US
Phone (864) 226-8868
Fax (864) 226-8804
Business Location
122 EAST WEST PARKWAY
ANDERSON SC, 29621-1361, US
Phone (864) 226-8868
Fax (864) 226-8804
Toxanomy
Taxonomy Code 332B00000X
License State
License Number
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According to our database, Wickiser Physical Medicine, Llc NPI is 1558790584, taxonomy code is 332B00000X Wickiser Physical Medicine, Llc physically located at 122 East West Parkway, Anderson SC, 29621-1361. NPI Number 1033115704 has the healthcare provider type.

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1558790584 NPI number is provided on an as is basis without warranty of any kind. 1558790584 is maintained by the National Plan & Provider Enumeration System. The contents of Wickiser Physical Medicine, Llc are for informational purposes only.