Organization
UPSTATE MEDICAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE J UNDERWOOD (BUSINESS ADMINISTRATOR)
(864) 232-8417
Entity
Organization
Contact information
Practice address
1003 GROVE RD, SUITE E, GREENVILLE, SC 29605-4626
(864) 232-8417
(864) 232-1511
Mailing address
1003 GROVE RD, SUITE E, GREENVILLE, SC 29605-4626
(864) 232-8417
(864) 232-1511
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013980168
NPI
SC
01
—
1396799763
NPI
SC
01
—
1659325934
NPI
SC
01
—
1699727008
NPI
SC
01
—
1962466276
NPI
SC
01
—
20810000X
TAXONOMY
SC
05
—
GP1248
—
SC
05
—
GP2707
—
SC
Enumeration date
12/12/2006
Last updated
12/12/2007
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