Whalio Doctors

NPI 1013669126

Advantage Integrated Medical

Organisation Physical Medicine & Rehabilitation Physician Lexington, SC

Practice location

Address
1926 S Lake Dr, Lexington, SC 29073-8282
Phone
(803) 462-5440

Authorised official

Name
David Gooldy
Title
Authorized Official
Phone
(803) 462-5440

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208100000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Registry record

NPI
1013669126
Entity type
Organization
NPI issued
20 Jan 2022
Record last updated
20 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.