Midlands Gastroenterology Associates

LBN: Midlands Gastroenterology Associates
Midlands Gastroenterology Associates is an health care organization with primary practice located at 4100 Main St Suite 201, Columbia SC 29203-5800. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Midlands Gastroenterology Associates can be contacted via phone (803) 786-0980, or through Suber, Dealva Taunoldyn via phone (803) 786-0980.

Contact Information

Primary practice address
4100 Main St Suite 201 Columbia SC 29203-5800
Phone: (803) 786-0980
Fax: (803) 786-6452
Website:
Map and Directions
Authorized official contact:
Name: Suber, Dealva Taunoldyn Doctor of Medicine (MD)
Phone: (803) 786-0980

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15386 South Carolina

Profile Details

NPI number 1386708535
LBN Legal business name Midlands Gastroenterology Associates
DBA Doing business as Midlands Gastroenterology Associates
Authorized official Suber, Dealva Taunoldyn Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2006
Last updated Aug 22nd, 2020 - about 6 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 1386708535 NPPES
South Carolina MEDICAID GP3892

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