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ELLIS GOODWIN

Physical Therapist

NPI: 1972490571IndividualAccepts Medicare

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Physical Therapist

Code: 225100000X

12983(SC)

CMS Specialties

PrimaryPHYSICAL THERAPIST IN PRIVATE PRACTICE

Education

MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE

Class of 2025

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Contact & Hours

Address
3799 12TH STREET EXT STE 100
CAYCE, SC 29033

Quick Facts

NPI
1972490571
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
1

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