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Contact Information

PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
2113 ADAMS GRV STE 200
COLUMBIA, SC29203-6957
 Phone: 803-254-1006
 Fax: 803-254-2090
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

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

NPI Number 1295224871
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 05/09/2018
Last updated 05/09/2018 - About 8 years ago
Identifiers
SC Medicaid GP7530
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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