Midlands Orthopaedics And Neurosurgery, PA
Orthopaedic Surgery in Irmo, SC. Organization (NPI-2).
NPI number1124096979
StatusActive
Last updated in NPPESJan 19, 2023
Details
- NPI
- 1124096979
- Entity type
- Organization (NPI-2)
- Legal business name
- Midlands Orthopaedics And Neurosurgery, PA
- Organization subpart
- No
- Enumeration date
- Mar 9, 2006
- Certification date
- Jan 19, 2023
- Last updated
- Jan 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | – | – | Yes |
| 207T00000X | Neurological Surgery | – | – | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | SC |
Practice location
1013 Lake Murray BlvdIrmo, SC 29063-2824
Phone 803-256-4107 · Fax 803-253-6676
Mailing address
1910 Blanding StColumbia, SC 29201-3520
Phone 803-256-4107 · Fax 803-253-6676
Authorized official
Karen Kimberly Sooter
Credentialing Coordinator
8032564107
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All 6 Orthopaedic Surgery Physician providers in Irmo · All 835 providers in Irmo
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