Elevate Physical Medicine LLC
Clinic/Center, Multi-Specialty in Duncan, SC. Organization (NPI-2).
NPI number1346862018
StatusActive
Last updated in NPPESMay 15, 2020
Details
- NPI
- 1346862018
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Physical Medicine LLC
- Organization subpart
- No
- Enumeration date
- May 15, 2020
- Certification date
- May 15, 2020
- Last updated
- May 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 363L00000X | Nurse Practitioner | – | – | |
| 111N00000X | Chiropractor | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 208100000X | Physical Medicine & Rehabilitation | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
700 Squires Pt Ste BDuncan, SC 29334-8879
Phone 864-607-4327 · Fax 864-752-1653
Mailing address
700 Squires Pt Ste BDuncan, SC 29334-8879
Phone 864-607-4327 · Fax 864-752-1653
Authorized official
Matthew Wink
Owner
8646074327
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