# UPSTATE MEDICAL REHABILITATION

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

## Provider details

- **NPI number:** 1821158379
- **Authorized official:** MRS. DEBBIE J UNDERWOOD (BUSINESS ADMINISTRATOR)
- **Authorized official phone:** (864) 232-8417

## Contact information

- **Practice address:** 1003 GROVE RD, SUITE E, GREENVILLE, SC 29605-4626
- **Practice address phone:** (864) 232-8417
- **Practice address fax:** (864) 232-1511
- **Mailing address:** 1003 GROVE RD, SUITE E, GREENVILLE, SC 29605-4626
- **Mailing address phone:** (864) 232-8417
- **Mailing address fax:** (864) 232-1511

## Taxonomy

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

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 12/12/2007