Ph Medical Group Midlands

Dental Clinic

 
3555 Harden Street Ext Ste 300, Columbia
    South Carolina, 29203-6894

 803-545-5000    Maps & Directions
Ph Medical Group Midlands is a Dental Clinic in Columbia, South Carolina. It is located at 3555 Harden Street Ext Ste 300, Columbia, SC and its contact number is 803-545-5000. The authorized person for Ph Medical Group Midlands is Kristi Lawrence who is Director-provider Enrollment of the clinic and their contact number is 864-522-8611. The primary license number for Ph Medical Group Midlands is 160413-0189 (Multi-Specialty) in South Carolina.
Ph Medical Group Midlands Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Ph Medical Group Midlands Clinic speciality, address, contact phone number and fax are as below. Patients can call on the below given phone number for appointments.
Name: Ph Medical Group Midlands
Specialization: Dentistry
Clinic Address:3555 Harden Street Ext Ste 300, Columbia,
South Carolina, 29203-6894
Phone:803-545-5000
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name: Kristi Lawrence
Position: Director-provider Enrollment
Contact Number: 864-522-8611
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Ph Medical Group Midlands clinic are as mentioned below.
NPI Number: 1275988321
NPI Enumeration Date: 26 Apr, 2016
NPI Last Update On: 05 May, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ph Medical Group Midlands are as mentioned below.
SpecializationLicense NumberStateStatus
Multi-Specialty 160413-0189South CarolinaPrimary
Dentist South CarolinaSecondary
Optometrist South CarolinaSecondary
Emergency Medicine South CarolinaSecondary
Family Medicine South CarolinaSecondary
Internal Medicine South CarolinaSecondary
Obstetrics & Gynecology South CarolinaSecondary
Ophthalmology South CarolinaSecondary
Orthopaedic Surgery South CarolinaSecondary
Pediatrics South CarolinaSecondary
Neurology South CarolinaSecondary
Psychiatry South CarolinaSecondary
Surgery South CarolinaSecondary
Urology South CarolinaSecondary
Pain Medicine South CarolinaSecondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
GP7530MedicaidSouth Carolina
DA9495MedicaidSouth Carolina
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ph Medical Group Midlands
Po Box 743904,
Atlanta, Georgia
Zip: 30374-3904
Phone Number: 803-296-7033
Patients can reach Ph Medical Group Midlands at 3555 Harden Street Ext Ste 300, Columbia, South Carolina or can call to book an appointment on 803-545-5000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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