NPI | 1922529668 |
---|---|
Other Name | PH MEDICAL GROUP MIDLANDS |
Entity Type | Organization |
Authorized Contact | KRISTI LAWRENCE Director Provider Enrollment 864-385-4790 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
207XS0106X Orthopaedic Surgery Hand Surgery | |
207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
Enumeration Date | 2017-07-03 |
Last Update Date | 2023-01-30 |