| NPI | 1447749510 |
|---|---|
| Other Name | PH MEDICAL GROUP MIDLANDS |
| Entity Type | Organization |
| Authorized Contact | KRISTI LAWRENCE Director Provider Enrollment 864-797-6118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2020-12-18 |