# MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396504544
- **Legal business name:** MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
- **Authorized official:** ANN MARGARET MCCRAW (CEO)
- **Authorized official phone:** (803) 933-6134

## Contact information

- **Practice address:** 1825 BLANDING ST, COLUMBIA, SC 29201-3517
- **Practice address phone:** (803) 256-4107
- **Mailing address:** 1825 BLANDING ST, COLUMBIA, SC 29201-3517
- **Mailing address phone:** (803) 256-4107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/18/2024
- **Last updated:** 03/18/2024