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MIDLANDS NEUROLOGY & PAIN ASSOC P.A NPI 1629084132


NPI Information

NPI: 1629084132
Provider Name: MIDLANDS NEUROLOGY & PAIN ASSOC, P.A
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2601 MILLWOOD AVE
MIDLANDS NEUROLOGY & PAIN ASSOC, P.A
COLUMBIA, SC
ZIP 29205
Phone: (803) 788-0038
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MIDLANDS NEUROLOGY & PAIN ASSOC, P.A is an interventional pain medicine pain medicine in Columbia, SC. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. MIDLANDS NEUROLOGY & PAIN ASSOC, P.A NPI is 1629084132. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2601 MILLWOOD AVE
MIDLANDS NEUROLOGY & PAIN ASSOC, P.A
COLUMBIA, SC
ZIP 29205-218
Phone: (803) 788-0038
Fax: (803) 788-0655

The provider's authorized official is E Ogburu-ogbonnaya Md .
The authorized official title is President Ceo and has the following contact phone number (803) 788-0038.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 11/7/2016.


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
12084N0400XPsychiatry & NeurologyNeurology18323SOUTH CAROLINANo
2208VP0014XPain MedicineInterventional Pain Medicine18323SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP1403MEDICAIDSOUTH CAROLINA
25070MEDICARE PINSOUTH CAROLINA
3F43451MEDICARE UPIN

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: 4/28/2024

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