National Provider Identifier Database

PALMETTO HEALTH UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Pediatric Pulmonology

A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.


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
* Pediatric Pulmonology 2080P0214X
Nutrition, Pediatric 133VN1004X
Physician Assistant 363A00000X
Social Worker 104100000X

* Indicates primary specialty

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

NPI Number 1194214775
Legal business name
LBN
PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP
Authorized official WILLIAM ANDERSON III, - (CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart No
Enumeration date 05/09/2018
Last updated 05/09/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • SC Medicaid: GP7530

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.

Reviews for PALMETTO HEALTH - UNIVERSITY OF SOUTH CAROLINA MEDICAL GROUP

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