Organization
MID-CAROLINA SURGERY SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA H SWEET (PRACTICE MANAGER)
(803) 286-8211
Entity
Organization
Contact information
Practice address
1010A N WOODLAND DR, MEDICAL ARTS BUILDING #3, LANCASTER, SC 29720-1966
(803) 286-8211
(803) 286-8214
Mailing address
1010A N WOODLAND DR, MEDICAL ARTS BUILDING #3, LANCASTER, SC 29720-1966
(803) 286-8211
(803) 286-8214
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
172789
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1395J
BCBS
NC
05
—
GP1671
—
SC
Enumeration date
03/12/2007
Last updated
10/09/2007
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