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Contact Information

MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
1013 LAKE MURRAY BLVD
IRMO, SC29063-2824
 Phone: 803-256-4107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MIDLANDS ORTHOPAEDICS AND NEUROSURGERY PA · (Female)

NPI Number 1720526981
Status Active
Credentials
Entity Individual
Enumeration date 02/08/2017
Last updated 01/19/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid PA3335
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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