Midlands Gastroenterology Associates

LBN: Midlands Gastroenterology Associates
Midlands Gastroenterology Associates is an health care organization with primary practice located at 4100 Main St , Columbia SC 29203-5800. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as the primary health care specialty. Midlands Gastroenterology Associates can be contacted via phone (803) 786-0980, or through Suber, Dealva T via phone (803) 786-0980.

Contact Information

Primary practice address
4100 Main St Columbia SC 29203-5800
Phone: (803) 786-0980
Fax: (803) 786-9132
Website:
Map and Directions
Authorized official contact:
Name: Suber, Dealva T Doctor of Medicine (MD)
Phone: (803) 786-0980

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X

Profile Details

NPI number 1831301761
LBN Legal business name Midlands Gastroenterology Associates
DBA Doing business as
Authorized official Suber, Dealva T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Jan 17th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831301761 NPPES
South Carolina MEDICAID 153862
South Carolina MEDICAID 099244
South Carolina MEDICAID GP3892

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