# PHYSIATRY AND REHABILITATION ASSOCIATES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Columbia Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972777001
- **Authorized official:** DR. USAMA A GABR M.D. (CEO)
- **Authorized official phone:** (803) 788-2225

## Contact information

- **Practice address:** 113 BLARNEY DR, COLUMBIA, SC 29223-6244
- **Practice address phone:** (803) 788-2225
- **Practice address fax:** (803) 788-2120
- **Mailing address:** 113 BLARNEY DR, COLUMBIA, SC 29223-6244
- **Mailing address phone:** (803) 788-2225
- **Mailing address fax:** (803) 788-2120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 28228 | SC | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 28228 | SC | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 35084155 | OH | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | 4301102325 | MI | Yes |
| 208D00000X | General Practice Physician | 35084155 | OH | — |

## Other

- **Enumeration date:** 04/18/2008
- **Last updated:** 08/18/2024