| Columbia Clinic | |
|
113 Blarney Dr Columbia SC 29223-6244 | |
| (803) 788-2225 | |
| (803) 788-2120 |
| Full Name | Columbia Clinic |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 113 Blarney Dr, Columbia, South Carolina |
| Authorized Official Name and Position | Usama A Gabr (CEO) |
| Authorized Official Contact | 8037882225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbia Clinic 113 Blarney Dr Columbia SC 29223-6244 Ph: (803) 788-2225 | Columbia Clinic 113 Blarney Dr Columbia SC 29223-6244 Ph: (803) 788-2225 |
| NPI Number | 1972777001 |
|---|---|
| Provider Enumeration Date | 04/18/2008 |
| Last Update Date | 05/15/2013 |
| Medicare PECOS PAC ID | 8628136942 |
|---|---|
| Medicare Enrollment ID | O20081015000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972777001 | NPI | - | NPPES |
| GP4958 | Medicaid | SC |
| Provider Name | Usama Abdul Monem Gabr |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1124089453 PECOS PAC ID: 3375505266 Enrollment ID: I20050825000583 |
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