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Contact Information

PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
9 RICHLAND MEDICAL PARK DR STE 530
COLUMBIA, SC29203-6870
 Phone: 803-434-4603
 Fax: 803-434-3866
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP

NPI # 1699263335
LBN Legal business name PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Authorized official WILLIAM ANDERSON III, - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2018
Last updated 04/27/2018 - About 8 years ago
Identifiers
SC Medicaid GP7320
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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