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PRISMA HEALTH MEDICAL GROUP-MIDLANDS NPI 1457848848


NPI Information

NPI: 1457848848
Provider Name: PRISMA HEALTH MEDICAL GROUP-MIDLANDS

Other Name: PH MEDICAL GROUP MIDLANDS

Classification: Pediatrics - 2080P0006X
Entity Type: Organization

Specialization: Developmental - Behavioral Pediatrics

Address:
9 RICHLAND MEDICAL PARK DR STE 210
COLUMBIA, SC
ZIP 29203
Phone: (803) 935-5604
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PRISMA HEALTH MEDICAL GROUP-MIDLANDS is a developmental - behavioral pediatrics pediatrics in Columbia, SC. The provider is a developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. PRISMA HEALTH MEDICAL GROUP-MIDLANDS NPI is 1457848848. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ph Medical Group Midlands.

The provider's business location address is:

9 RICHLAND MEDICAL PARK DR STE 210
COLUMBIA, SC
ZIP 29203-859
Phone: (803) 935-5604
Fax: (803) 434-1920

The provider's authorized official is James Ellis .
The authorized official title is Chief Integration Officer and has the following contact phone number (803) 545-5048.

The enumeration date for this NPI number is 4/20/2018 and was last updated on 9/11/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

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

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