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Organization

MIDLAND EAR NOSE AND THROAT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALAN BRILL MD (PRESIDENT OF MIDLAND ENT)
(803) 744-7770
Entity
Organization

Contact information

Practice address
3 RICHLAND MEDICAL PARK, SUITE 130, COLUMBIA, SC 29203-6850
(803) 744-7770
(803) 744-7776
Mailing address
3 RICHLAND MEDICAL PARK, SUITE 130, COLUMBIA, SC 29203-6850
(803) 744-7770
(803) 744-7776

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00351491
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PC2644
SC
Enumeration date
10/30/2006
Last updated
12/03/2007
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