# SOUTH CAROLINA INTERNAL MEDICINE ASSOCIATES AND REHABILITATION,L.L.C.

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

## Provider details

- **NPI number:** 1760483382
- **Authorized official:** BENJAMIN J LEVINSON MD (MANAGEING PARTNER)
- **Authorized official phone:** (803) 749-1111

## Contact information

- **Practice address:** 7182 WOODROW ST STE 200, IRMO, SC 29063-2958
- **Practice address phone:** (803) 749-1111
- **Practice address fax:** (803) 749-0050
- **Mailing address:** 7182 WOODROW ST STE 200, IRMO, SC 29063-2832
- **Mailing address phone:** (803) 749-1111
- **Mailing address fax:** (803) 749-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 11481 | SC | — |
| 207R00000X | Internal Medicine Physician | 11901 | SC | Yes |
| 207R00000X | Internal Medicine Physician | 11931 | SC | — |
| 207R00000X | Internal Medicine Physician | 21980 | SC | — |
| 207RC0000X | Cardiovascular Disease Physician | 11871 | SC | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 17388 | SC | — |
| 208600000X | Surgery Physician | 10531 | SC | — |
| 363AM0700X | Medical Physician Assistant | MPA 1942 TL | SC | — |

## Other

- **Enumeration date:** 08/04/2005
- **Last updated:** 05/05/2024