Supplemental Healthcare

Practice location

Address

6033 Brookgreen CT, Spartanburg, SC 29301-3547

Phone

(864) 764-5189

Authorised official

Name

Adger Ryan Moore

Title

Physical Therapist Assistant

Phone

(864) 764-5189

Registered specialties

Registry record

NPI

1144409640

Entity type

Organization

NPI issued

31 Oct 2007

Record last updated

31 Oct 2007

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.