NPI | 1275988321 |
---|---|
Other Name | PH MEDICAL GROUP MIDLANDS |
Entity Type | Organization |
Authorized Contact | KRISTI LAWRENCE Director Provider Enrollment 864-522-8611 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: SC 160413-0189) |
Additional Taxonomies | 122300000X Dentist |
152W00000X Optometrist | |
207P00000X Emergency Medicine | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
207W00000X Ophthalmology | |
207X00000X Orthopaedic Surgery | |
208000000X Pediatrics | |
2084N0400X Psychiatry & Neurology, Neurology | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
208600000X Surgery | |
208800000X Urology | |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2016-04-26 |
Last Update Date | 2021-05-05 |