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Organization

PRISMA HEALTH MIDLANDS

Active
Parent organization
PRISMA HEALTH-MIDLANDS
Other names
Prisma Health Senior Primary Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRISMA HEALTH-MIDLANDS
Authorized official
POLLY H MILLER (VP-FIN ENTERPRISER PAYOR CONTRACTIN)
(864) 522-2286
Entity
Organization

Contact information

Practice address
3010 FARROW RD STE 300, COLUMBIA, SC 29203-7606
(803) 434-1210
(803) 434-1212
Mailing address
3010 FARROW RD, SUITE 300, COLUMBIA, SC 29203-7607
(803) 434-1210
(803) 434-1212

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
SC
282NC0060X
Critical Access Hospital
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP1537
SC
Enumeration date
03/14/2006
Last updated
06/23/2025
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