Organization
FIRST CHOICE REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMIE MIMS (OWNER)
(803) 735-8047
Entity
Organization
Contact information
Practice address
4100 MAIN ST, STE 204, COLUMBIA, SC 29203-5800
(803) 735-8047
Mailing address
4100 MAIN ST, STE 204, COLUMBIA, SC 29203-5800
(803) 735-8047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003491
—
SC
Enumeration date
05/02/2007
Last updated
08/22/2020
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