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Organization

SOUTHERN STATES PHYSICAL MEDICINE AND REHABILIATION CENTER

Active
Other names
Southern States Family Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
GLENN GEADA (OWNER)
(803) 283-8442
Entity
Organization

Contact information

Practice address
8763 CHARLOTTE HWY, FORT MILL, SC 29715-7589
(803) 548-8452
Mailing address
1002 N WOODLAND DR, LANCASTER, SC 29720-1966

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2158
SC
225100000X
Physical Therapist
3884
SC

Other

Enumeration date
07/14/2006
Last updated
09/11/2025
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