MIDLANDS PHYSICAL MEDICINE, LLC

COLUMBIA, SC
NPI1457617540
Entity TypeOrganization
Authorized ContactKELVIN J. WILEY
Medical Director
803-419-8700
Organization Subpart ?Yes
Primary Taxonomy332900000X Non-Pharmacy Dispensing Site
Enumeration Date2012-04-03
Last Update Date2012-04-03
Business Address
MIDLANDS PHYSICAL MEDICINE, LLC
4531 HARD SCRABBLE RD
COLUMBIA, SC 29229-8561
Phone number: 803-419-8700
Mailing Address
MIDLANDS PHYSICAL MEDICINE, LLC
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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