Provider Demographics
NPI:1750540795
Name:MIDLANDS MEDIATION & ASSOCIATES LLC
Entity type:Organization
Organization Name:MIDLANDS MEDIATION & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:KARIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:CM CH PHD
Authorized Official - Phone:803-745-8477
Mailing Address - Street 1:5716 WESTON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-4643
Mailing Address - Country:US
Mailing Address - Phone:803-754-8477
Mailing Address - Fax:
Practice Address - Street 1:5716 WESTON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-4643
Practice Address - Country:US
Practice Address - Phone:803-754-8477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173000000XOther Service ProvidersLegal MedicineGroup - Multi-Specialty