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Contact Information

NORTHEAST MEDICAL SPECIALISTS
1401 CALHOUN ST
COLUMBIA, SC29201
 Phone: 803-400-1201
 Fax: 803-400-1204
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Allergy & Immunology

207K00000X 03 Physician/Allergy/ Immunology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NORTHEAST MEDICAL SPECIALISTS

NPI # 1811969918
LBN Legal business name NORTHEAST MEDICAL SPECIALISTS
Authorized official TANYA REID - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
SC License # 15941
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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