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MATRIX REHABILITATION SOUTH CAROLINA INC. NPI 1295751204


NPI Information

NPI: 1295751204
Provider Name: MATRIX REHABILITATION SOUTH CAROLINA, INC.

Doing Business As: VAUGHN, BUCHANAN, SHELLEY & ASSOCIATES

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

Specialization: Rehabilitation

Address:
1334 MILLER RD
GREENVILLE, SC
ZIP 29607
Phone: (864) 234-5842
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MATRIX REHABILITATION SOUTH CAROLINA, INC. is a rehabilitation clinic center in Greenville, SC. MATRIX REHABILITATION SOUTH CAROLINA, INC. NPI is 1295751204. The provider is registered as an organization entity type.
The provider Is Doing Business As Vaughn, Buchanan, Shelley & Associates.

The provider's business location address is:

1334 MILLER RD
GREENVILLE, SC
ZIP 29607-710
Phone: (864) 234-5842
Fax: (864) 676-1468

The provider's authorized official is Cynthia L. Goldberg .
The authorized official title is Chief Compliance Officer and has the following contact phone number (610) 644-7824.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 5/12/2015.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1426598MEDICARE OSCAR/CERTIFICATIONSOUTH CAROLINA

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

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