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Contact Information

MIDLANDS NEUROLOGY & PAIN ASSOC, P.A
2601 MILLWOOD AVE
MIDLANDS NEUROLOGY & PAIN ASSOC, P.A
COLUMBIA, SC29205-1218
 Phone: 803-788-0038
 Fax: 803-788-0655
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for MIDLANDS NEUROLOGY & PAIN ASSOC, P.A

NPI Number 1629084132
LBN Legal business name MIDLANDS NEUROLOGY & PAIN ASSOC, P.A
Authorized official E OGBURU-OGBONNAYA MD - (PRESIDENT CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 08/01/2006
Last updated 11/07/2016 - About 10 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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