| Midlands Physical Medicine LLC | |
|
4531 Hard Scrabble Rd Columbia SC 29229-8561 | |
| (803) 419-8700 | |
| (803) 865-6760 |
| Full Name | Midlands Physical Medicine LLC |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 10/12/2011 |
| Last Update Date | 10/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356626196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 23431 (South Carolina) | Primary |
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