Organization

Advantage Integrated Medical

Physical Medicine & Rehabilitation Physician in Lexington, SC(View on Map)

Legal Business Name

Advantage Integrated Medical

NPI Number

1013669126

NPI Type

Organization

Enumeration Date

01/20/2022

Specialties

(Taxonomies)

Code

208100000X
207Q00000X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

1926 S LAKE DR
1926 S LAKE DR

City

Lexington
Lexington

State

SC
SC

Postal Code

29073-8282
29073-8282

Country

US
US

Telephone Number

N/A
(803) 462-5440

Authorized Official

Name

David Gooldy

Title or Position

AUTHORIZED OFFICIAL

Telephone Number

(803) 462-5440

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/20/2022

Provider Address

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