Provider Demographics
NPI:1346393733
Name:FURMAN UNIVERSITY
Entity Type:Organization
Organization Name:FURMAN UNIVERSITY
Other - Org Name:FURMAN UNIVERSITY SPORTSMEDICINE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:ATC
Authorized Official - Phone:864-294-2130
Mailing Address - Street 1:3300 POINSETT HWY
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29613-0002
Mailing Address - Country:US
Mailing Address - Phone:864-294-2130
Mailing Address - Fax:864-294-3590
Practice Address - Street 1:3300 POINSETT HWY
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29613-0002
Practice Address - Country:US
Practice Address - Phone:864-294-2130
Practice Address - Fax:864-294-3590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC426585Medicare ID - Type Unspecified