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1135 Stonecrest Blvd Ste 103 Tega Cay SC 29708-6559 | |
(803) 547-9940 | |
(803) 547-9942 |
Full Name | |
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Speciality | Clinic/center - Physical Therapy |
Location | 1135 Stonecrest Blvd Ste 103, Tega Cay, South Carolina |
Authorized Official Name and Position | Kevin Johanneson (VP REVENUE CYCLE) |
Authorized Official Contact | 4232387217 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 Ph: (423) 238-7217 | 1135 Stonecrest Blvd Ste 103 Tega Cay SC 29708-6559 Ph: (803) 547-9940 |
NPI Number | 1336498393 |
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Provider Enumeration Date | 09/06/2012 |
Last Update Date | 09/20/2017 |
Identifier | Type | State | Issuer |
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1336498393 | NPI | - | NPPES |