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Contact Information

MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
1013 LAKE MURRAY BLVD
IRMO, SC29063-2824
 Phone: 803-256-4107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA

NPI Number 1720526981
LBN Legal business name MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
Authorized official KAREN SOOTER - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 02/08/2017
Last updated 01/19/2023 - About 3 years ago
Identifiers
SC Medicaid PA3335
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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