Organization
EMMANUEL MEDICAL & REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY GOINGS (OWNER)
(864) 205-6137
Entity
Organization
Contact information
Practice address
1812 HAMPTON ST STE A, COLUMBIA, SC 29201-3580
(864) 205-6137
Mailing address
1812 HAMPTON ST STE A, COLUMBIA, SC 29201-3580
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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