Midlands Physical Medicine Llc | |
4531 Hard Scrabble Rd Columbia SC 29229-8561 | |
(803) 419-8700 | |
(803) 865-6760 |
Full Name | Midlands Physical Medicine Llc |
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Speciality | General Practice |
Location | 4531 Hard Scrabble Rd, Columbia, South Carolina |
Authorized Official Name and Position | Joseph Benjamin Barton (OWNER) |
Authorized Official Contact | 8034198700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Midlands Physical Medicine Llc 4531 Hard Scrabble Rd Columbia SC 29229-8561 Ph: (803) 419-8700 | Midlands Physical Medicine Llc 4531 Hard Scrabble Rd Columbia SC 29229-8561 Ph: (803) 419-8700 |
NPI Number | 1356626196 |
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Provider Enumeration Date | 10/12/2011 |
Last Update Date | 10/09/2017 |
Identifier | Type | State | Issuer |
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1356626196 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 23431 (South Carolina) | Primary |
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Lagniappe Medical Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 74 Polo Rd, Columbia, SC 29223 Phone: 803-419-7780 Fax: 803-419-7781 | |