Organization
WILLIAM ARTHUR JONES MIDLANDS HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN BENEDICT (INSURANCE DEPARTMENT)
(803) 252-2255
Entity
Organization
Contact information
Practice address
3106 DEVINE ST, COLUMBIA, SC 29205-1846
(803) 252-2255
(803) 252-5436
Mailing address
3106 DEVINE ST, COLUMBIA, SC 29205-1846
(803) 252-2255
(803) 252-5436
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8167
PTAN
SC
Enumeration date
08/09/2006
Last updated
01/14/2013
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