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Midlands Gastroenterology,p.c.
Specialist in Irmo, South Carolina
NPI 1528182664

Midlands Gastroenterology,p.c. is a Specialist based in Irmo, SC. Midlands Gastroenterology,p.c. practices in Irmo, SC. The NPI Number for Midlands Gastroenterology,p.c. is 1528182664 and holds a License No. 20-20662 (South Carolina).

The current practice location address for Midlands Gastroenterology,p.c. is 1 Wellness Blvd, Irmo, SC and can be reached out via phone at 803-732-8632 and via fax at 803-732-8658.

Location: 1 Wellness Blvd, Irmo, SC, 29063-2872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528182664
Provider Name
Midlands Gastroenterology,p.c.
Credential
Provider Entity Type
Organization
Address
1 Wellness Blvd, Irmo, SC, 29063-2872
Phone Number
803-732-8632
Fax Number
803-732-8658
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A241 01 SC MEDICARE PTAN
206627 05 SC
institution
Provider Business Practice Location Address Details
Address
1 Wellness Blvd
City
Irmo
State
South Carolina
Zip
29063-2872
Phone Number
803-732-8632
Fax Number
803-732-8658
person
Provider Business Mailing Address Details
Address
1 Wellness Blvd
City
Irmo
State
South Carolina
Zip
29063-2872
Phone Number
803-732-8632
Fax Number
803-732-8658
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
20-20662 (South Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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