Impact Physician Group Texas Physiatry Services LLC
Physical Medicine & Rehabilitation in Elgin, SC. Organization (NPI-2).
NPI number1962390708
StatusActive
Last updated in NPPESAug 27, 2025
Details
- NPI
- 1962390708
- Entity type
- Organization (NPI-2)
- Legal business name
- Impact Physician Group Texas Physiatry Services LLC
- Organization subpart
- No
- Enumeration date
- Jun 27, 2025
- Certification date
- Aug 27, 2025
- Last updated
- Aug 27, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
20 Pinnacle PkwyElgin, SC 29045-8389
Phone 803-438-8890
Mailing address
21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546
Phone 678-967-5599
Other practice locations
3085 Taylor Rd
Cayce, SC 29033-2745
Cayce, SC 29033-2745
Phone 803-258-8240
Authorized official
Paul Miller
Ceo
6789675599
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