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Contact Information

PRISMA HEALTH MEDICAL GROUP-MIDLANDS
14 RICHLAND MEDICAL PARK DR STE 200
COLUMBIA, SC29203-6882
 Phone: 803-296-9200
 Fax: 803-296-9297
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Hand Surgery

207XS0106X 02 Physician/General Surgery
Indicates primary specialty

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

NPI # 1346761897
Status Active
Credentials
Entity Individual
Enumeration date 07/05/2017
Last updated 06/24/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP8162
  • SC Other DE3832 DME MEDICAID
  • SC Other 7660520001 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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