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Organization
SOUTHERN STATES PHYSICAL MEDICINE AND REHABILIATION CENTER
Active
Organization
SOUTHERN STATES PHYSICAL MEDICINE AND REHABILIATION CENTER
Active
Other names
Southern States Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN GEADA (OWNER)
(803) 283-8442
Entity
Organization
Contact information
Practice address
8763 CHARLOTTE HWY, FORT MILL, SC 29715-7589
(803) 548-8452
Mailing address
1002 N WOODLAND DR, LANCASTER, SC 29720-1966
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2158
SC
225100000X
Physical Therapist
3884
SC
Other
Enumeration date
07/14/2006
Last updated
09/11/2025
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