Midlands Gastroenterology Associates in Columbia - Specialist

Midlands Gastroenterology Associates - NPI 1386708535

Midlands Gastroenterology Associates is a Specialist in Columbia, South Carolina. Midlands Gastroenterology Associates practices all healthcare services and medical treatments related to Specialist. The NPI Number for Midlands Gastroenterology Associates is 1386708535. The last update date is 2020-08-22.

Midlands Gastroenterology Associates's current location address is 4100 Main St, Columbia, South Carolina. You can contact this provider via phone number 8037860980 and fax number 8037866452. The mailing address for Midlands Gastroenterology Associates is 4100 Main St, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Midlands Gastroenterology Associates
Address 4100 Main St, Columbia, South Carolina
Phone Number 8037860980
Fax Number 8037866452
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Suber Taunoldyn Dealva
Credentials M.D.
Telephone Number 8037860980

NPI Number Detail

NPI Number 1386708535
Provider Enumeration Date 2006-12-21
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4100 Main St
City Columbia
State South Carolina (SC)
Post Code 292035800
Phone Number 8037860980
Fax Number 8037866452

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 15386
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GP3892 SC --

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FAQs about Midlands Gastroenterology Associates

What is the unique 10-digit identification code issued to Midlands Gastroenterology Associates by the Centers for Medicare & Medicaid Services?

The Midlands Gastroenterology Associates has been assigned the NPI (National Provider Identifier) 1386708535 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Midlands Gastroenterology Associates is physically located?

The Midlands Gastroenterology Associates is physically situated at the following address: 4100 Main St, Columbia, SC, 292035800.

What is Midlands Gastroenterology Associates's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Midlands Gastroenterology Associates is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.

When did the Midlands Gastroenterology Associates receive its 1386708535?

The Midlands Gastroenterology Associates was issued its 1386708535 on 2006-12-21, which is the date when the organization was assigned this unique identifier.

When was the Midlands Gastroenterology Associates's information last updated?

The Midlands Gastroenterology Associates's information was last updated on 2020-08-22.

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