# CAROLINA MEDICAL REHAB

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

## Provider details

- **NPI number:** 1497705982
- **Authorized official:** MRS. LINDA H HUCKABY CMA (AAMA) (BILLING MANAGER)
- **Authorized official phone:** (864) 627-4032

## Contact information

- **Practice address:** 27 CREEKVIEW COURT, GREENVILLE, SC 29615-4800
- **Practice address phone:** (864) 627-4032
- **Practice address fax:** (864) 627-4035
- **Mailing address:** 301 RAVEN RD, GREENVILLE, SC 29615-4249
- **Mailing address phone:** (864) 627-4032
- **Mailing address fax:** (864) 627-4035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 05/16/2008