PEDIATRIC ENDOCRINE SPECIALTY NPI 1013976505

NPI Information

PEDIATRIC ENDOCRINE SPECIALTY is a medical specialty clinic center in Columbia, SC. The provider is 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). PEDIATRIC ENDOCRINE SPECIALTY NPI is 1013976505. The provider is registered as an organization entity type.

The provider's business location address is:

3000 NE MEDICAL PARK
SUITE 212
COLUMBIA, SC
ZIP 29223-251
Phone: (803) 865-6008
Fax: (803) 865-6018

The provider's authorized official is Howard J. Heize .
The authorized official title is Physician and has the following contact phone number (803) 865-6008.

The enumeration date for this NPI number is 3/22/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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