Coastal Clemson Enterprise Llc | |
115 Cooks Rest Ln, Moncks Corner, SC 29461-8895 | |
(678) 978-2395 | |
Not Available |
Full Name | Coastal Clemson Enterprise Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 115 Cooks Rest Ln, Moncks Corner, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144934266 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Nathan Clemson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1639414196 PECOS PAC ID: 3678726049 Enrollment ID: I20210405001552 |
Mailing Address | Practice Location Address |
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Coastal Clemson Enterprise Llc 115 Cooks Rest Ln, Moncks Corner, SC 29461-8895 Ph: (678) 978-2395 | Coastal Clemson Enterprise Llc 115 Cooks Rest Ln, Moncks Corner, SC 29461-8895 Ph: (678) 978-2395 |
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Elizabeth Clemson, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2061 Us-52, Moncks Corner, SC 29461 Phone: 843-761-4622 | |
Dr. Elizabeth Geiger Harvey, PT, DPT, MSR, DHS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 737 Bunkerhill Ln, Moncks Corner, SC 29461 Phone: 843-482-0878 | |
Dane R Mowitz, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2061 Highway 52, Moncks Corner, SC 29461 Phone: 843-761-4622 | |
Kbr Physical Therapy, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 314 Albrighton Way, Moncks Corner, SC 29461 Phone: 843-810-8501 | |
Tracey L Manasco, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 412 Drive In Lane, Unit D, Moncks Corner, SC 29461 Phone: 843-761-6732 Fax: 843-761-6734 |