Organization
PRISMA HEALTH MEDICAL GROUP-MIDLANDS
Active
Other names
PH Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTI ANN LAWRENCE (DIRECTOR)
(864) 522-8611
Entity
Organization
Contact information
Practice address
10 RICHLAND MEDICAL PARK DR STE A, COLUMBIA, SC 29203-6892
(803) 434-6567
(803) 434-6299
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 434-6412
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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