| Goose Creek Physical Medicine Llc | |
|
607 Saint James Ave, Suite B, Goose Creek, SC 29445-2773 | |
| (843) 376-5595 | |
| (843) 376-5604 |
| Full Name | Goose Creek Physical Medicine Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 607 Saint James Ave, Goose Creek, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346534781 | NPI | - | NPPES |
| CH2773 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Goose Creek Physical Medicine Llc 607 Saint James Ave, Suite B, Goose Creek, SC 29445-2773 Ph: (843) 376-5595 | Goose Creek Physical Medicine Llc 607 Saint James Ave, Suite B, Goose Creek, SC 29445-2773 Ph: (843) 376-5595 |
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