Organization · Type 2 NPI

Midlands Neurology & Pain Assoc, P.a

Addiction Medicine (Psychiatry & Neurology) Physician · Columbia, SC

NPI number 1699280644 Active

Practice location

2601 Millwood Ave
Columbia, SC 29205-1218

Mailing address

PO Box 209
State Park, SC 29147-0209

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Psychiatry & Neurology) Physician Primary 2084A0401X18323 (SC)
Substance Abuse Rehabilitation Facility 324500000X18323 (SC)

Addiction Medicine (Psychiatry & Neurology) Physician: A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

4 other providers at this address

About NPI 1699280644

Midlands Neurology & Pain Assoc, P.a's National Provider Identifier is 1699280644, issued on Dec 12, 2017. The primary taxonomy on file is Addiction Medicine (Psychiatry & Neurology) Physician (2084A0401X), and the practice location is in Columbia, SC. The record was last updated on Dec 13, 2017.