Organization
CAROLINA MEDICAL REHAB
Active
Organization
CAROLINA MEDICAL REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA H HUCKABY CMA (AAMA) (BILLING MANAGER)
(864) 627-4032
Entity
Organization
Contact information
Practice address
27 CREEKVIEW COURT, GREENVILLE, SC 29615-4800
(864) 627-4032
(864) 627-4035
Mailing address
301 RAVEN RD, GREENVILLE, SC 29615-4249
(864) 627-4032
(864) 627-4035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ5877
RAILROAD MEDICARE
SC
05
—
GP2609
—
SC
Enumeration date
05/12/2006
Last updated
05/16/2008
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