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Contact Information

PRISMA HEALTH MEDICAL GROUP-MIDLANDS
9 RICHLAND MEDICAL PARK DR STE 410
COLUMBIA, SC29203-6859
 Phone: 803-434-7995
 Fax: 803-434-7983
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Infectious Diseases

2080P0208X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI # 1285678078
Status Active
Credentials
Entity Individual
Enumeration date 06/15/2006
Last updated 09/11/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid OPAC03
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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