| NPI | 1174045124 |
|---|---|
| Other Name | PH MEDICAL GROUP MIDLANDS |
| Entity Type | Organization |
| Authorized Contact | KRISTI LAWRENCE Director Provider Enrollment 864-385-4790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2020-09-11 |