NPI 1295222503

Prisma Health Medical Group-Midlands

Organisation Oral & Maxillofacial Surgery (D.M.D.) Columbia, SC

Practice location

Address: 3304 Forest Dr, Columbia, SC 29204-4024
Phone: (803) 434-6565
Fax: (803) 434-6299
Mailing address: PO Box 743904, Atlanta, GA 30374-3904

Authorised official

Name: Kristi Lawrence
Title: Director Provider Enrollment
Phone: (864) 797-6118

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in South Carolina →

Registry record

NPI: 1295222503
Entity type: Organization
NPI issued: 23 Apr 2018
Record last updated: 22 Feb 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.