CAROLINA INTEGRATED MEDICINE LLC NPI 1558738344

NPI Information

  • NPI: 1558738344
  • Provider Name: CAROLINA INTEGRATED MEDICINE LLC
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Organization
  • CLIA Number: 42D2236141
  • Address: 8451 CHARLOTTE HWY
    FORT MILL, SC
    ZIP 29707
  • Phone: (803) 548-8114

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NPI Details

CAROLINA INTEGRATED MEDICINE LLC is a sports medicine physical medicine rehabilitation in Fort Mill, SC. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. CAROLINA INTEGRATED MEDICINE LLC NPI is 1558738344. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8451 CHARLOTTE HWY
FORT MILL, SC
ZIP 29707-587
Phone: (803) 548-8114

The provider's authorized official is Ryan Valencic .
The authorized official title is President and has the following contact phone number (814) 233-9387.

The CLIA number assigned to this NPI record is 42D2236141 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2015 and was last updated on 8/27/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports Medicine3709SOUTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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