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General NPI Number Information
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NPI Number | 1962471946
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Entity Type | Organization
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Legal Business Name | PRISMA HEALTH MIDLANDS
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 3010 FARROW RD STE 300
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City | COLUMBIA
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State | SC
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Zip | 29203-7606
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Country | US
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Telephone | 803-434-1210
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Fax | 803-434-1212
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Provider Business Mailing Address
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Address Line | 3010 FARROW RD SUITE 300
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City | COLUMBIA
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State | SC
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Zip | 29203-7607
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Country | US
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Telephone | 803-434-1210
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Fax | 803-434-1212
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Authorized Official
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Title or Position | VP-FIN ENTERPRISER PAYOR CONTRACTIN
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Name | POLLY H MILLER
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Credential |
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Telephone | 864-522-2286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number |
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State | SC
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