NPI | 1871080283 |
---|---|
Other Name | PH MEDICAL GROUP MIDLANDS |
Entity Type | Organization |
Authorized Contact | KRISTI LAWRENCE Director Provider Enrollment 864-797-6118 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208M00000X Hospitalist |
207LP2900X Anesthesiology, Pain Medicine | |
207V00000X Obstetrics & Gynecology | |
207X00000X Orthopaedic Surgery | |
207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
208600000X Surgery | |
Enumeration Date | 2018-04-20 |
Last Update Date | 2020-07-16 |