Organization
MIDLANDS ORTHOPAEDICS AND NEUROSURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN KIMBERLY SOOTER (CREDENTIALING COORDINATOR)
(803) 256-4107
Entity
Organization
Contact information
Practice address
2989 SUNSET BLVD, WEST COLUMBIA, SC 29169-3497
(803) 256-4107
Mailing address
1910 BLANDING ST, COLUMBIA, SC 29201-3520
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA3335
—
SC
Enumeration date
02/08/2017
Last updated
01/19/2023
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