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Organization
MIDLAND FAMILY MEDICINE
Active
Organization
MIDLAND FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA M LAPRISE (BILLING MANAGER)
(803) 405-1900
Entity
Organization
Contact information
Practice address
2525 KINARD ST, NEWBERRY, SC 29108-2909
(803) 276-4860
(803) 276-2812
Mailing address
2525 KINARD ST, NEWBERRY, SC 29108-2909
(803) 276-4860
(803) 276-2812
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00719
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3816
—
SC
05
—
T00504
—
SC
Enumeration date
09/20/2006
Last updated
08/22/2020
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