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Contact Information

PRISMA HEALTH MEDICAL GROUP-MIDLANDS
2 MEDICAL PARK RD STE L9L10
COLUMBIA, SC29203-6808
 Phone: 803-434-6812
 Fax: 803-434-7306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
 

Orthopaedic Surgery of the Spine

207XS0117X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PRISMA HEALTH MEDICAL GROUP MIDLANDS · (Female)

NPI # 1174045124
Status Active
Credentials
Entity Individual
Enumeration date 07/12/2017
Last updated 09/11/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP8162
  • SC Other DE3873 DME MEDICAID
  • SC Other 7660520006 DME MEDICARE PTAN
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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