Organization
PHYSIATRY AND REHABILITATION ASSOCIATES LLC
Active
Organization
PHYSIATRY AND REHABILITATION ASSOCIATES LLC
Active
Other names
Columbia Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. USAMA A GABR M.D. (CEO)
(803) 788-2225
Entity
Organization
Contact information
Practice address
113 BLARNEY DR, COLUMBIA, SC 29223-6244
(803) 788-2225
(803) 788-2120
Mailing address
113 BLARNEY DR, COLUMBIA, SC 29223-6244
(803) 788-2225
(803) 788-2120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
28228
SC
208100000X
Physical Medicine & Rehabilitation Physician
28228
SC
208100000X
Physical Medicine & Rehabilitation Physician
35084155
OH
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301102325
MI
208D00000X
General Practice Physician
35084155
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4958
—
SC
Enumeration date
04/18/2008
Last updated
08/18/2024
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