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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