BIG FISH PHYSICAL MEDICINE, LLC

MOUNT PLEASANT, SC
NPI1568493849
Entity TypeOrganization
Authorized ContactJOHN ALEXANDER NICHOLSON
President
843-971-3373
Organization Subpart ?No
Primary Taxonomy261QP3300X Clinic/Center Pain
(Licence: SC  SC 15656)
Enumeration Date2006-07-05
Last Update Date2008-03-10
Business Address
BIG FISH PHYSICAL MEDICINE, LLC
3400 SALTERBECK CT SUITE 102
MOUNT PLEASANT, SC 29466-7118
Phone number: 843-971-3373
Mailing Address
BIG FISH PHYSICAL MEDICINE, LLC
3400 SALTERBECK CT SUITE 102
MOUNT PLEASANT, SC 29466-7118
Phone number: 843-971-3373