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Contact Information

MIDLANDS NEUROLOGY & PAIN ASSOC, P.A
2601 MILLWOOD AVE
COLUMBIA, SC29205-1218
 Phone: 803-788-0038
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for MIDLANDS NEUROLOGY PAIN ASSOC PA · (Female)

NPI # 1699280644
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2017
Last updated 12/13/2017 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC License # 18323
  • SC Medicaid GP1403
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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