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NPI Code Detail

MEDICARE: UNITED REHAB INC

MEDICARE: UNITED REHAB INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0400XRehabilitation Clinic/Center

General Provider Information

NPI Number : 1053629949
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED REHAB INC
Provider Business Mailing Address
First Line : 1626 JEURGENS CT
Second Line :
City : NORCROSS
State : GA
Zip : 30093-2219
Country : US
Telephone Number : 770-279-6200
Fax Number :
Provider Business Practice Location Address
First Line : 1075 HEATHER GREEN DRIVE
Second Line :
City : COLUMBIA
State : SC
Zip : 29202
Country : US
Telephone Number : 803-382-2300
Fax Number :
Authorized Official
Title or Position : CHAIRMAN AND CEO
Name : NEIL L. PRUITT JR.
Credential :
Telephone Number : 770-279-6200
Provider Enumeration Date : 09/14/2010
Last Update Date : 09/14/2010

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Directions to “UNITED REHAB INC ” Practice Location

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