| NPI | 1699300939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAMSI KANAGALA Medical Director 803-587-5163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 207N00000X Dermatology | |
| 207RN0300X Internal Medicine, Nephrology | |
| 2081H0002X Physical Medicine & Rehabilitation, Hospice and Palliative Medicine | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2025-12-02 |