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Contact Information

SOUTH CAROLINA ENT ALLERGY & SLEEP MEDICINE PA
15 EXCHANGE DR
LUGOFF, SC29078-9198
 Phone: 803-408-3277
 Fax: 803-408-3277
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for SOUTH CAROLINA ENT ALLERGY & SLEEP MEDICINE PA

NPI Number 1134153083
LBN Legal business name SOUTH CAROLINA ENT ALLERGY & SLEEP MEDICINE PA
Authorized official PAMELA KIRBY - (CHIEF REVENUE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/10/2006
Last updated 05/26/2020 - About 6 years ago
Identifiers
SC Medicaid GP4316
SC Other DE5192 UNSPECIFIED
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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