Organization
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
Active
Other names
PH Medical Group Midlands
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ELLIS (CHIEF INTEGRATION OFFICER)
(803) 545-5048
Entity
Organization
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR STE 210, COLUMBIA, SC 29203-6859
(803) 935-5604
(803) 434-1920
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
09/11/2020
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