National Provider Identifier Database

PEDIATRIC ENDOCRINE SPECIALTY
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

PEDIATRIC ENDOCRINE SPECIALTY
3000 NE MEDICAL PARK
SUITE 212
COLUMBIA, SC29223-6251
Phone: 803-865-6008
Fax: 803-865-6018
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC ENDOCRINE SPECIALTY

NPI Number 1013976505
Legal business name
LBN
PEDIATRIC ENDOCRINE SPECIALTY
Authorized official HOWARD HEIZE - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 03/22/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 19871
  • SC Medicaid: GP3583
  • SC Other: 19871 DR. HEIZE'S SC MED LIC #

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.

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