Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
MIDLANDS MEDICAL GROUP LLC
Active
Organization
MIDLANDS MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD HARGRAVE (OWNER)
(803) 419-8700
Entity
Organization
Contact information
Practice address
4531 HARD SCRABBLE RD, COLUMBIA, SC 29229
(803) 419-8700
Mailing address
4531 HARD SCRABBLE RD, COLUMBIA, SC 29229-8561
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
04/19/2018
Last updated
08/14/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up