MIDLANDS MEDICAL GROUP LLC NPI 1902393549

NPI Information

MIDLANDS MEDICAL GROUP LLC is a general practice in Columbia, SC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MIDLANDS MEDICAL GROUP LLC NPI is 1902393549. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4531 HARD SCRABBLE RD
COLUMBIA, SC
ZIP 29229
Phone: (803) 419-8700

The provider's authorized official is Ronald Hargrave .
The authorized official title is Owner and has the following contact phone number (803) 419-8700.

The enumeration date for this NPI number is 4/19/2018 and was last updated on 8/14/2018.

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:

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