Organization
MIDLANDS ORTHOPAEDICS SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY EASLEY (MOSC ADMINISTRATOR)
(803) 461-4740
Entity
Organization
Contact information
Practice address
1930 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
(803) 254-2825
Mailing address
1930 BLANDING ST, COLUMBIA, SC 29201-3520
(803) 256-4107
(803) 254-2825
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC065
—
SC
Enumeration date
06/24/2006
Last updated
12/07/2016
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