Aiken Physical Medicine And Rehabilitation LLC
Family Medicine, Adult Medicine in Aiken, SC. Organization (NPI-2).
NPI number1912240383
StatusActive
Last updated in NPPESMay 3, 2013
Details
- NPI
- 1912240383
- Entity type
- Organization (NPI-2)
- Legal business name
- Aiken Physical Medicine And Rehabilitation LLC
- Organization subpart
- No
- Enumeration date
- Apr 3, 2013
- Last updated
- May 3, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0505X | Family Medicine, Adult Medicine | 000695 | SC | Yes |
| 163WW0101X | Registered Nurse, Women's Health Care, Ambulatory | 17794 | SC | |
| 111N00000X | Chiropractor | 3663 | SC |
Practice location
2741 Whiskey RdAiken, SC 29803-6197
Phone 803-226-0217 · Fax 803-226-0459
Mailing address
2741 Whiskey RdAiken, SC 29803-6197
Phone 803-226-0217 · Fax 803-226-0459
Authorized official
Philip R Jordan
Owner/Chiropractor
8032260217
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