# MIDLANDS ANESTHESIOLOGISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750867297
- **Authorized official:** DR. LESLIE S LONG MD (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (803) 254-2394

## Contact information

- **Practice address:** 2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
- **Practice address phone:** (803) 254-2394
- **Mailing address:** PO BOX 16656, ATLANTA, GA 30321-0656
- **Mailing address phone:** (803) 765-1838
- **Mailing address fax:** (803) 765-1732

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |

## Other

- **Enumeration date:** 07/18/2018
- **Last updated:** 07/18/2018