| NPI | 1316708456 |
|---|---|
| Doing Business As | SPORTS MEDICINE SPECIALISTS OF CHARLESTON |
| Entity Type | Organization |
| Authorized Contact | DOREATHA ROGERS Rcs Manager 980-302-7992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-02-09 |