Organization
MIDLANDS GASTROENTEROLOGY ASSOCIATES
Active
Other names
MIDLANDS GASTROENTEROLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
BURNETT WILLILAM GALLMAN M.D. (DOCTOR)
(803) 786-0980
Entity
Organization
Contact information
Practice address
4100 MAIN ST, SUITE 201, COLUMBIA, SC 29203-5800
(803) 786-0980
(803) 786-6452
Mailing address
4100 MAIN ST, SUITE 201, COLUMBIA, SC 29203-5800
(803) 786-0980
(803) 786-6452
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9924
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3892
—
SC
Enumeration date
12/21/2006
Last updated
08/22/2020
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