MR. LARRY BERT MEDLIN NPI 1841407566

NPI Information

NPI: 1841407566
Provider Name: MR. LARRY BERT MEDLIN
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
1500 LADY ST
COLUMBIA, SC
ZIP 29201
Phone: (803) 779-1995
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MR. Larry Bert Medlin is a professional counselor in Columbia, SC. MR. Larry Bert Medlin NPI is 1841407566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 LADY ST
COLUMBIA, SC
ZIP 29201-402
Phone: (803) 779-1995

The enumeration date for this NPI number is 5/16/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	4654	SOUTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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