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Organization
MIDLAND EAR NOSE AND THROAT
Active
Organization
MIDLAND EAR NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN BRILL MD (PRESIDENT OF MIDLAND ENT)
(803) 744-7770
Entity
Organization
Contact information
Practice address
3 RICHLAND MEDICAL PARK, SUITE 130, COLUMBIA, SC 29203-6850
(803) 744-7770
(803) 744-7776
Mailing address
3 RICHLAND MEDICAL PARK, SUITE 130, COLUMBIA, SC 29203-6850
(803) 744-7770
(803) 744-7776
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00351491
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC2644
—
SC
Enumeration date
10/30/2006
Last updated
12/03/2007
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