# EMMANUEL MEDICAL & REHAB, LLC

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

## Provider details

- **NPI number:** 1336891951
- **Authorized official:** RANDY GOINGS (OWNER)
- **Authorized official phone:** (864) 205-6137

## Contact information

- **Practice address:** 1812 HAMPTON ST STE A, COLUMBIA, SC 29201-3580
- **Practice address phone:** (864) 205-6137
- **Mailing address:** 1812 HAMPTON ST STE A, COLUMBIA, SC 29201-3580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2022
- **Last updated:** 01/25/2022