National Provider Identifier Database

PALMETTO PEDIATRIC GASTROENTEROLOGY
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

PALMETTO PEDIATRIC GASTROENTEROLOGY
2113 ADAMS GRV
SUITE 200
COLUMBIA, SC29203-7102
Phone: 803-254-1006
Fax: 803-254-2090
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for PALMETTO PEDIATRIC GASTROENTEROLOGY

NPI Number 1558320275
Legal business name
LBN
PALMETTO PEDIATRIC GASTROENTEROLOGY
Authorized official RATHNA AMARNATH - (PHYSICIAN)
Entity Organization
Organization subpart No
Enumeration date 03/21/2006
Last updated 05/27/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • SC License #: 14383
  • SC Medicaid: GP3080

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 PEDIATRIC GASTROENTEROLOGY

There are currently no reviews for PALMETTO PEDIATRIC GASTROENTEROLOGY


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