Midlands Gastroenterology Associates | |
4100 Main St Columbia SC 29203-5800 | |
(803) 786-0980 | |
(803) 786-9132 |
Full Name | Midlands Gastroenterology Associates |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 4100 Main St, Columbia, South Carolina |
Authorized Official Name and Position | Dealva T Suber (PHYSICIAN) |
Authorized Official Contact | 8037860980 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Midlands Gastroenterology Associates 4100 Main St Columbia SC 29203-5800 Ph: (803) 786-0980 | Midlands Gastroenterology Associates 4100 Main St Columbia SC 29203-5800 Ph: (803) 786-0980 |
NPI Number | 1831301761 |
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Provider Enumeration Date | 05/04/2007 |
Last Update Date | 01/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831301761 | NPI | - | NPPES |
153862 | Medicaid | SC | |
099244 | Medicaid | SC | |
GP3892 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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