Midlands Podiatry, P. A.

NPI 1174582977 - Podiatrist - 213ES0103X

NPI Details
NPI 1174582977
Enumeration Date 03/21/2006
Last Updated 01/10/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BRYAN BRYAN
Position CEO
Phone (803) 865-8444
Fax (803) 699-7444
Practice Location
9600 TWO NOTCH RD
SUITE 1
COLUMBIA SC, 29223-1612, US
Phone (803) 865-8444
Fax (803) 699-7444
Business Location
115 ATRIUM WAY
SUITE 235
COLUMBIA SC, 29223-6371, US
Phone (803) 788-5916
Fax (803) 788-9564
Toxanomy
Taxonomy Code 213ES0103X
License State South Carolina
License Number 515
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According to our database, Midlands Podiatry, P. A. NPI is 1174582977, taxonomy code is 213ES0103X and license number is 515, license state is located at South Carolina. Midlands Podiatry, P. A. physically located at 9600 Two Notch Rd, Columbia SC, 29223-1612. NPI Number 1033115704 has the healthcare provider type.

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1174582977 NPI number is provided on an as is basis without warranty of any kind. 1174582977 is maintained by the National Plan & Provider Enumeration System. The contents of Midlands Podiatry, P. A. are for informational purposes only.