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1396161808
SOUTHEAST NEUROPATHY & TREATMENT CENTER, LLC
COLUMBIA, SC
NPI
1396161808
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Entity Type
Organization
Authorized Contact
GLENN GRAY
Corporate Compliance Officer
803-240-5399
Organization Subpart ?
No
Primary Taxonomy
261QP3300X Clinic/Center, Pain
Enumeration Date
2014-03-07
Last Update Date
2014-03-07
Business Address
SOUTHEAST NEUROPATHY & TREATMENT CENTER, LLC
1494 LAKE MURRAY BLVD 1ST FLOOR
COLUMBIA, SC 29212-8697
Phone number: 803-240-5399
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Mailing Address
SOUTHEAST NEUROPATHY & TREATMENT CENTER, LLC
PO BOX 26
IRMO, SC 29063-0026
Phone number: 803-240-5399
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