Provider Type Icon

CLEMSON SPORTS MEDICINE AND REHABILITATION NPI 1679658785


NPI Information

NPI: 1679658785
Provider Name: CLEMSON SPORTS MEDICINE AND REHABILITATION

Doing Business As: THE BALANCE, MOBILITY AND DIZZINESS CENTER

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
3185 AZALEA DR
CHARLESTON, SC
ZIP 29405
Phone: (843) 225-2240
Get Directions

CLEMSON SPORTS MEDICINE AND REHABILITATION is a rehabilitation clinic center in Charleston, SC. CLEMSON SPORTS MEDICINE AND REHABILITATION NPI is 1679658785. The provider is registered as an organization entity type.
The provider Is Doing Business As The Balance, Mobility And Dizziness Center.

The provider's business location address is:

3185 AZALEA DR
CHARLESTON, SC
ZIP 29405-211
Phone: (843) 225-2240
Fax: (843) 225-2241

The provider's authorized official is Stuart Hunter .
The authorized official title is President/owner/pt and has the following contact phone number (864) 482-0064.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.