Provider First Line Business Practice Location Address:
6439 GARNERS FERRY ROAD
Provider Second Line Business Practice Location Address:
BUILDING 103/RECREATION THERAPY
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-503-5417
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2022