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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, P.A

NPI # 1699280644
LBN Legal business name MIDLANDS NEUROLOGY & PAIN ASSOC, P.A
Authorized official ELEANYA OGBURU-OGBONNAYA - (PRESIDENT CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2017
Last updated 12/13/2017 - About 8 years ago
Identifiers
SC License # 18323
SC Medicaid GP1403
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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