# SOUTHERN PHYSICAL MEDICINE AND REHABILITATION ASSOCIATES, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063507549
- **Authorized official:** RAHUL VOHRA MD (MANAGING PARTNER)
- **Authorized official phone:** (601) 420-1930

## Contact information

- **Practice address:** 1020 RIVER OAKS DRIVE, STE 450, JACKSON, MS 39232
- **Practice address phone:** (601) 420-1930
- **Practice address fax:** (601) 420-1931
- **Mailing address:** 1020 RIVER OAKS DRIVE, STE 450, JACKSON, MS 39232
- **Mailing address phone:** (601) 420-1930
- **Mailing address fax:** (601) 420-1931

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 12/13/2007