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Midlands Neurology & Pain Assoc, P.a
Substance Abuse Rehabilitation Facility in Columbia, South Carolina
NPI 1699280644

Midlands Neurology & Pain Assoc, P.a is a Substance Abuse Rehabilitation Facility based in State Park, SC. Midlands Neurology & Pain Assoc, P.a practices in Columbia, SC. The NPI Number for Midlands Neurology & Pain Assoc, P.a is 1699280644 and holds a License No. 18323 (South Carolina).

The current practice location address for Midlands Neurology & Pain Assoc, P.a is 2601 Millwood Ave, Columbia, SC and can be reached out via phone at 803-788-0038.

Location: 2601 Millwood Ave, Columbia, SC, 29147-0209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699280644
Provider Name
Midlands Neurology & Pain Assoc, P.a
Credential
Provider Entity Type
Organization
Address
2601 Millwood Ave, Columbia, SC, 29147-0209
Phone Number
803-788-0038
Fax Number
Provider Enumeration Date
12/12/2017
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP1403 05 SC
institution
Provider Business Practice Location Address Details
Address
2601 Millwood Ave
City
Columbia
State
South Carolina
Zip
29205-1218
Phone Number
803-788-0038
Fax Number
person
Provider Business Mailing Address Details
Address
2601 Millwood Ave
City
Columbia
State
South Carolina
Zip
29205-1218
Phone Number
803-788-0038
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Addiction Medicine
Taxonomy
2084A0401X
License No.
18323 (South Carolina)
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
18323 (South Carolina)
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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