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Organization

PRISMA HEALTH MEDICAL GROUP-MIDLANDS

Active
Other names
PH Oral & Maxillofacial Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTI ANN LAWRENCE (DIRECTOR)
(864) 522-8611
Entity
Organization

Contact information

Practice address
3304 FOREST DR, COLUMBIA, SC 29204-4024
(803) 434-6567
(803) 551-2573
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 434-6412

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
11/20/2023
Last updated
11/20/2023
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