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Contact Information

PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
9 RICHLAND MEDICAL PARK DR STE 505
COLUMBIA, SC29203-6844
 Phone: 803-434-2505
 Fax: 803-434-2181
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for PALMETTO HEALTH UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP · (Female)

NPI Number 1194214775
Status Active
Credentials
Entity Individual
Enumeration date 05/09/2018
Last updated 05/09/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid GP7530
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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