| Midlands Psychiatric Service, Llc | |
|
125 Alpine Cir Columbia SC 29223-6385 | |
| (803) 779-3548 | |
| (803) 779-7055 |
| Full Name | Midlands Psychiatric Service, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 125 Alpine Cir, Columbia, South Carolina |
| Authorized Official Name and Position | Ellie Bryan Mozingo (MANAGING PARTNER) |
| Authorized Official Contact | 8037793548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midlands Psychiatric Service, Llc 125 Alpine Cir Columbia SC 29223-6385 Ph: (803) 779-3548 | Midlands Psychiatric Service, Llc 125 Alpine Cir Columbia SC 29223-6385 Ph: (803) 779-3548 |
| NPI Number | 1679782205 |
|---|---|
| Provider Enumeration Date | 05/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679782205 | NPI | - | NPPES |
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