Provider Demographics
NPI:1922587054
Name:MIDLANDS PULMONARY AND CRITICAL CARE SPECIALISTS, PC
Entity Type:Organization
Organization Name:MIDLANDS PULMONARY AND CRITICAL CARE SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FELDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-470-1481
Mailing Address - Street 1:2601 LAUREL ST STE 130
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2035
Mailing Address - Country:US
Mailing Address - Phone:803-470-1481
Mailing Address - Fax:803-470-5104
Practice Address - Street 1:2601 LAUREL ST STE 130
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2035
Practice Address - Country:US
Practice Address - Phone:803-470-1481
Practice Address - Fax:803-470-5104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-09
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty