Organization
MIDLANDS SPINE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON GEORGE MUBARAK DC (OWNER/PRESIDENT)
(803) 791-3900
Entity
Organization
Contact information
Practice address
5076 SUNSET BLVD STE C, LEXINGTON, SC 29072-7050
(803) 520-0084
(803) 520-7284
Mailing address
1525 SUNSET BLVD STE B, WEST COLUMBIA, SC 29169-5957
(803) 791-3900
(803) 791-7899
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
11/10/2018
Last updated
03/03/2020
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