Midlands Physical Medicine, Llc

LBN: Midlands Physical Medicine, Llc
Midlands Physical Medicine, Llc is an health care organization with primary practice located at 4531 Hard Scrabble Rd , Columbia SC 29229-8561. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Midlands Physical Medicine, Llc can be contacted via phone (803) 419-8700, or through Wiley, Kelvin J. via phone (803) 419-8700.

Contact Information

Primary practice address
4531 Hard Scrabble Rd Columbia SC 29229-8561
Fax:
Website:
Authorized official contact:
Name: Wiley, Kelvin J. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X

Profile Details

NPI number 1457617540
LBN Legal business name Midlands Physical Medicine, Llc
DBA Doing business as
Authorized official Wiley, Kelvin J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 3rd, 2012
Last updated Apr 3rd, 2012 - about 12 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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