Doctor Name: | MR. LEE GARNER CHUMNEY |
NPI Number: | 1073539193 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 4260 |
Business Practice Address: | 5401 Netherby Rd Ste 300 N Charleston, SC - 294207363 |
Business Phone Number: | 8432255211 |
Business Fax Number: | |
Mailing Address: | 173 Evening Shade Dr, CHARLESTON |
State: | SC |
Postal Code: | 294149143 |
Phone Number: | 8435685132 |
Fax Number: | |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 02/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 4260 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |