| Southern States Physical Medicine And Rehabilitation Center | |
|
1002 N Woodland Dr, Lancaster, SC 29720-1966 | |
| (803) 283-8442 | |
| (803) 286-4604 |
| Full Name | Southern States Physical Medicine And Rehabilitation Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1002 N Woodland Dr, Lancaster, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023067014 | NPI | - | NPPES |
| GCH200 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2158 (South Carolina) | Primary |
| 225100000X | Physical Therapist | 5224 (South Carolina) | Primary |
| Provider Name | Glenn Joseph Geada |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1639129638 PECOS PAC ID: 4688570401 Enrollment ID: I20110408000612 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern States Physical Medicine And Rehabilitation Center 1002 N Woodland Dr, Lancaster, SC 29720-1966 Ph: (803) 283-8442 | Southern States Physical Medicine And Rehabilitation Center 1002 N Woodland Dr, Lancaster, SC 29720-1966 Ph: (803) 283-8442 |
Chad S Gindi, PT,DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1002n Woodland Dr, Lancaster, SC 29720 Phone: 803-283-8442 Fax: 803-286-4604 | |
Mrs. Kristin England Sims, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1004 Hardin St, Lancaster, SC 29720 Phone: 803-283-0987 Fax: 803-283-0987 | |
Sheridan L Sizemore, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 509 Hubbard Dr, Lancaster, SC 29720 Phone: 803-313-7011 Fax: 803-313-7438 | |
Abbott Rehabilitation Center Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1318 Highway 9 Byp W, Lancaster, SC 29720 Phone: 803-286-5541 Fax: 803-223-7329 | |
Southern States Physical Therapy Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106a Woodland Dr, Lancaster, SC 29720 Phone: 803-283-8442 Fax: 803-286-4604 | |
Courtney Cauthen Marshall, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1318 Highway 9 Byp W, Lancaster, SC 29720 Phone: 803-286-5541 Fax: 803-286-5542 | |
Mrs. Jimaki Witherspoon Roach, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1166 Camp Creek Rd, Lancaster, SC 29720 Phone: 803-804-0440 |