# SOUTHERN STATES PHYSICAL MEDICINE AND REHABILITATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern States Family Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023067014
- **Authorized official:** PAM JAMES (OFFICE MANAGER)
- **Authorized official phone:** (803) 283-8442

## Contact information

- **Practice address:** 1002 N WOODLAND DR, LANCASTER, SC 29720-1966
- **Practice address phone:** (803) 283-8442
- **Practice address fax:** (803) 286-4604
- **Mailing address:** 1002 N WOODLAND DR, LANCASTER, SC 29720-1966
- **Mailing address phone:** (803) 283-8442
- **Mailing address fax:** (803) 286-4604

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2158 | SC | — |
| 225100000X | Physical Therapist | 5224 | SC | Yes |

## Other

- **Enumeration date:** 05/08/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GCH200 | — | SC |