Organization
PANAMA MEDICAL REHABILITATION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ANISUR RAHMAN MD (PRESIDENT)
(347) 574-5585
Entity
Organization
Contact information
Practice address
1355 INDEPENDENCE DR, AUGUSTA, GA 30901-1037
(706) 869-2520
(706) 303-8992
Mailing address
PO BOX 3311, EVANS, GA 30809-0089
(347) 574-5585
(063) 038-9927
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
132633
FL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
09/23/2017
Last updated
02/21/2021
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